Individual
MS. HEIDI JENNIFER ADRIANSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4115 N STOWELL AVE, SHOREWOOD, WI 53211-1743
(414) 841-3334
Mailing address
4115 N STOWELL AVE, SHOREWOOD, WI 53211-1743
Taxonomy
Speciality
Code
Description
License number
State
225XM0800X
Mental Health Occupational Therapist
3246-26
WI
225XP0200X
Pediatric Occupational Therapist
Primary
3246-26
WI
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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