Individual
SHEILA MAY BANDA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2600 S. HERITAGE WOODS DRIVE, APPLETON, WI 54915-1408
(920) 225-7708
(920) 225-7791
Mailing address
2600 S. HERITAGE WOODS DRIVE, APPLETON, WI 54915-1408
(920) 225-7708
(920) 225-7791
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
804-027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20188400
—
WI
Enumeration date
09/25/2007
Last updated
09/25/2008
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