Individual
CHELSEA EMILIE HEYRMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
600 2ND AVE, NEW GLARUS, WI 53574-9776
(608) 527-4390
Mailing address
5325 FROSTY LN, MADISON, WI 53705-2734
(262) 490-1137
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
529627
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
529627
DEPARTMENT OF SAFETY AND PROFESSIONAL SERVICES
WI
Enumeration date
01/16/2019
Last updated
01/16/2019
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