Individual
MRS. WHITNEY EIDAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1674 EISENHOWER RD, DE PERE, WI 54115-8145
(920) 337-1087
Mailing address
3088 MERCEDES DR, GREEN BAY, WI 54313-9205
(920) 655-5409
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201009292
MI
225X00000X
Occupational Therapist
Primary
682326
WI
Other
Enumeration date
10/28/2015
Last updated
05/19/2026
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