Organization
WHOLISTIC OCCUPATIONAL THERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANE M. HALLORAN O.T. (OWNER/THERAPIST)
(414) 258-2981
Entity
Organization
Contact information
Practice address
6320 W NORTH AVE, WAUWATOSA, WI 53213-2013
(414) 258-2981
(414) 774-0082
Mailing address
6320 W NORTH AVE, WAUWATOSA, WI 53213-2013
(414) 258-2981
(414) 774-0082
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
992026
WI
Other
Enumeration date
12/15/2011
Last updated
12/15/2011
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