Individual
WENDY LOOMANS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1902 MEAD AVE, SHEBOYGAN, WI 53081-6140
(920) 458-8333
Mailing address
W4789 COUNTY ROAD F, WALDO, WI 53093-1612
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2329-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40758000
—
WI
Enumeration date
10/29/2008
Last updated
10/29/2008
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