Organization
COUNTY OF WOOD
Active
Other names
BH - Birth to Three OT-PT-SLP
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDON VRUWINK (DIRECTOR OF HUMAN SERVICES)
(715) 421-8800
Entity
Organization
Contact information
Practice address
111 W JACKSON ST, WISCONSIN RAPIDS, WI 54495-2702
(715) 421-8800
(715) 421-2266
Mailing address
111 W JACKSON ST, WISCONSIN RAPIDS, WI 54495-2702
(715) 421-8845
(715) 421-2266
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2019
WI
225X00000X
Occupational Therapist
2019
WI
235Z00000X
Speech-Language Pathologist
2019
WI
251E00000X
Home Health Agency
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41226300
—
WI
Enumeration date
04/18/2007
Last updated
10/10/2025
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