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Individual

ALISSA M HIRSCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1049 N EDGE TRL, VERONA, WI 53593-1942
(608) 845-2100
(608) 845-2101
Mailing address
1049 N EDGE TRL, VERONA, WI 53593-1942
(608) 845-2100
(608) 845-2101

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3907026
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000083475
MEDICARE
WI
05
40861900
WI
Enumeration date
05/13/2008
Last updated
07/25/2008
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