Individual
MRS. MAUREEN F. WINTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
112 E 5TH AVE, ANTIGO, WI 54409-2710
(715) 623-9449
(715) 623-9425
Mailing address
112 E 5TH AVE, ANTIGO, WI 54409-2710
(715) 623-9449
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2423-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40796600
—
WI
Enumeration date
04/09/2008
Last updated
04/09/2008
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