Individual
TAYLOR WIENKES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
2995 SUB ZERO PKWY, FITCHBURG, WI 53719-8801
(608) 819-6394
Mailing address
414 EDELWEISS CIR, NEW GLARUS, WI 53574-9429
(608) 553-0809
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6822-26
WI
Other
Enumeration date
08/17/2020
Last updated
12/08/2024
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