Provider Demographics
NPI:1730494337
Name:HEBRINK, ERIN M (OT)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:M
Last Name:HEBRINK
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:ERIN
Other - Middle Name:M
Other - Last Name:SVOBODA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:700 WEST AVENUE S
Mailing Address - Street 2:
Mailing Address - City:LA CROSSE
Mailing Address - State:WI
Mailing Address - Zip Code:54601-4783
Mailing Address - Country:US
Mailing Address - Phone:608-392-9768
Mailing Address - Fax:608-392-7124
Practice Address - Street 1:700 WEST AVENUE S
Practice Address - Street 2:
Practice Address - City:LA CROSSE
Practice Address - State:WI
Practice Address - Zip Code:54601-4783
Practice Address - Country:US
Practice Address - Phone:608-392-9768
Practice Address - Fax:608-392-7124
Is Sole Proprietor?:No
Enumeration Date:2010-08-09
Last Update Date:2011-03-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI4748-026225XM0800X
WI4748225XM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XM0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistMental Health