Individual
MRS. MIRANDA ZEEVELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 MILL ST, EMPLOYEE HEALTH CENTER, SHEBOYGAN FALLS, WI 53085-1807
(920) 467-5212
Mailing address
1650 TRI PARK WAY, SUITE A, APPLETON, WI 54914-1601
(920) 830-6697
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1954-027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41038900
—
WI
Enumeration date
05/04/2007
Last updated
06/11/2008
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