Doctor Name: | MRS. MIRKA NORMAND |
NPI Number: | 1023156759 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | OTR, MA, CHT, COMT |
License Number: | 4617-026 |
Business Practice Address: | 6408 Copps Ave Monona, WI - 537163702 |
Business Phone Number: | 6084173131 |
Business Fax Number: | 6084173130 |
Mailing Address: | 202 S Park St, MADISON |
State: | WI |
Postal Code: | 537151507 |
Phone Number: | 6084176000 |
Fax Number: | |
NPI Enumeration Date: | 02/02/2007 |
NPI Last Update Date: | 12/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225XH1200X |
License Number: | 4617-026 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Occupational Therapist |
Taxonomy Specialization: | Hand |
Taxonomy Definition: |