Organization
HEALTHCARE CLINIC AND WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KAREN BESIADA-HANSEN OTR (OWNER/OCCUPATIONAL THERAPIST)
(920) 818-0424
Entity
Organization
Contact information
Practice address
835 POTTS AVE, GREEN BAY, WI 54304-4535
(920) 491-9079
Mailing address
51 W. WALNUT ST., STURGEON BAY, WI 54235
(920) 818-0424
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
—
—
Other
Enumeration date
07/23/2008
Last updated
07/23/2008
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