Organization
RIVERWIND THERAPEUTICS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANN PRUYNE MS, OTR (OWNER)
(608) 290-4584
Entity
Organization
Contact information
Practice address
828 E AZALEA TER, BELOIT, WI 53511-1606
(608) 290-4584
(608) 362-6065
Mailing address
828 E AZALEA TER, BELOIT, WI 53511-1606
(608) 290-4584
(608) 362-6065
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2095-026
WI
Other
Enumeration date
09/26/2008
Last updated
04/01/2013
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