Individual
DANA SIEBENALLER WIEMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
252 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-6068
Mailing address
252 MCHENRY ST, BURLINGTON, WI 53105-1828
(262) 767-6068
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
5196
WI
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700430295
—
WI
Enumeration date
08/01/2019
Last updated
10/29/2022
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