Individual
WENDY CHARON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1650 TRI PARK WAY STE A, APPLETON, WI 54914-1698
(920) 830-6697
(920) 830-6707
Mailing address
1650 TRI PARK WAY STE A, APPLETON, WI 54914-1698
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4863-027
WI
Other
Enumeration date
10/18/2011
Last updated
10/18/2011
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