NPI 1063724938
Victoria Sue Head, COTA
Practice location
- Address
- 3014 Erie Ave, Sheboygan, WI 53081-3658
- Phone
- (920) 459-3028
- Mailing address
- 445 Grandview Cir, Adell, WI 53001-1164
Registered specialties
Occupational Therapy Assistant
Primary
Registry record
- NPI
- 1063724938
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 8 Jul 2010
- Record last updated
- 8 Jul 2010
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.