Individual
JULIE ANN ANICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
2330 S 86TH ST, WEST ALLIS, WI 53227-2510
(414) 507-8011
Mailing address
2330 S 86TH ST, WEST ALLIS, WI 53227-2510
(414) 507-8011
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
86 - 27
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
081 187
WISCONSIN DPI LICENSE
WI
Enumeration date
06/01/2010
Last updated
06/01/2010
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