Organization
WINDSONG OCCUPATIONAL THERAPY AND PAIN MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL WILLIAM WADE (OTR/L)
(715) 661-2996
Entity
Organization
Contact information
Practice address
311 SAUNDERS AVE., PARK FALLS, WI 54552-1549
(715) 661-2996
Mailing address
311 SAUNDERS AVE., PARK FALLS, WI 54552-1549
(715) 661-2996
Taxonomy
Speciality
Code
Description
License number
State
225XP0019X
Physical Rehabilitation Occupational Therapist
Primary
3104-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1922273713
—
WI
Enumeration date
09/07/2010
Last updated
09/07/2010
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