NPI 1003926759
Tonee' Rene Hacker, COTA
Practice location
- Address
- 2300 Western Ave, Manitowoc, WI 54220-3712
- Phone
- (920) 320-3112
- Fax
- (920) 684-3194
- Mailing address
- 2300 Western Ave PO Box 2170, Manitowoc, WI 54220-3712
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1003926759
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 30 Aug 2006
- Record last updated
- 8 Jul 2007
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.