Individual
MS. HEIDI ANN DUXBURY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1700 MIDWAY RD, MENASHA, WI 54952-1230
(920) 739-0111
Mailing address
3648 CHERRYVALE PL UNIT 3, APPLETON, WI 54913-9463
(715) 213-8893
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5709-27
WI
Other
Enumeration date
05/12/2020
Last updated
05/12/2020
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