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Individual

CARISSA LYNN HILLMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LOTA

Contact information

Practice address
2305 SAN LUIS PLACE, GREEN BAY, WI 54304-5211
(920) 494-2817
(920) 494-2855
Mailing address
2305 SAN LUIS PLACE, GREEN BAY, WI 54304-5211
(920) 494-2817
(920) 494-2855

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4640-27
WI

Other

Enumeration date
01/05/2015
Last updated
01/05/2015
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