Bryce W Heinzen, OT
Occupational Therapist in Green Bay, WI. Individual provider (NPI-1).
NPI number1164043394
StatusActive
Last updated in NPPESNov 30, 2020
Details
- NPI
- 1164043394
- Entity type
- Individual (NPI-1)
- Name
- Bryce W Heinzen
- Credential
- OT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Apr 28, 2020
- Certification date
- Nov 30, 2020
- Last updated
- Nov 30, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225X00000X | Occupational Therapist | 6717-26 | WI | Yes |
Practice location
744 S Webster AveGreen Bay, WI 54301-3505
Phone 920-433-7822 · Fax 920-433-3651
Mailing address
Po Box 22487Green Bay, WI 54305-2487
Phone 920-445-7222 · Fax 920-445-2789
Other practice locations
1760 Shawano Ave
Green Bay, WI 54303-3216
Green Bay, WI 54303-3216
Phone 920-499-5191
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