YVONNE VANDER HEIDEN

GREEN BAY, WI
NPI1316316730
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  5161-27)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: IL  057.004262)
Enumeration Date2015-09-15
Last Update Date2022-12-12
Business Address
YVONNE VANDER HEIDEN COTA
2121 S ONEIDA ST
GREEN BAY, WI 54304-4617
Phone number: 920-209-0012
Mailing Address
YVONNE VANDER HEIDEN COTA
121 W TOWN RD
PULASKI, WI 54162-9278
Phone number: 920-209-0012