Individual
HOLLY DEL PONTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1902 MEAD AVE, SHEBOYGAN, WI 53081-6140
(920) 458-8333
(920) 458-3346
Mailing address
155 WATER CT, CEDAR GROVE, WI 53013-1642
(920) 668-8849
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
626027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40726500
—
WI
Enumeration date
05/17/2007
Last updated
07/08/2007
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