Individual
KRISTA LYN WIENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
250 LAWRENCE AVE, PARK FALLS, WI 54552-1431
(715) 762-2449
(715) 762-3321
Mailing address
250 LAWRENCE AVE, PARK FALLS, WI 54552-1431
(715) 762-2449
(715) 762-3321
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4600-27
WI
Other
Enumeration date
04/12/2010
Last updated
04/12/2010
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