Individual
MRS. SHELLEY LYNNETTE HESLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
575 4TH ST SE, WAUKON, IA 52172-2057
(563) 568-4764
Mailing address
575 4TH ST SE, WAUKON, IA 52172-2057
(563) 568-4764
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
00108
IA
Other
Enumeration date
10/15/2009
Last updated
10/15/2009
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