Individual
RACHEL HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
614 S ROCK AVE, VIROQUA, WI 54665-1936
(608) 637-2171
Mailing address
18505 ICELAND RD, SPARTA, WI 54656-5716
(608) 343-8893
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1914
WI
Other
Enumeration date
05/13/2008
Last updated
01/30/2012
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