Individual
BRENDA HELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1727 SHAWANO AVE, GREEN BAY, WI 54303-3268
(920) 498-4267
Mailing address
1727 SHAWANO AVE, GREEN BAY, WI 54303-3268
(920) 498-4267
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
925-26
WI
Other
Enumeration date
12/02/2013
Last updated
12/02/2013
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