Individual
HEATHER WARNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 MAPLE GROVE DR, MADISON, WI 53719-5013
(608) 845-0454
Mailing address
6701 MADER DR APT 107, MADISON, WI 53719-5502
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4941-27
WI
Other
Enumeration date
06/10/2014
Last updated
06/10/2014
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