Organization
THERAPY SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBORAH JEAN HOOVER OTR (OWNER)
(715) 693-7178
Entity
Organization
Contact information
Practice address
415 ORBITING DR, SUITE B, MOSINEE, WI 54455-1762
(715) 693-7178
(715) 693-7178
Mailing address
415 ORBITING DR, SUITE B, MOSINEE, WI 54455-1762
(715) 693-7178
(715) 693-7178
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1700-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41012200
—
WI
Enumeration date
01/06/2009
Last updated
01/06/2009
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