Kimberly J Bloss COTA

NPI 1710184668 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1710184668
Gender Female
Enumeration Date 07/02/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
700 WEST AVE S
LA CROSSE WI, 54601-4783, US
Phone (608) 392-9768
Fax (608) 392-7124
Business Location
700 WEST AVE S
LA CROSSE WI, 54601-4783, US
Phone (608) 392-9768
Fax (608) 392-7124
Toxanomy
Taxonomy Code 224Z00000X
License State Wisconsin
License Number 2049
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According to our database, Kimberly J Bloss COTA NPI is 1710184668, taxonomy code is 224Z00000X and license number is 2049, license state is located at Wisconsin. Kimberly J Bloss COTA physically located at 700 West Ave S, La Crosse WI, 54601-4783. NPI Number Kimberly J Bloss COTA has the Individual type.

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1710184668 NPI number is provided on an as is basis without warranty of any kind. 1710184668 is maintained by the National Plan & Provider Enumeration System. The contents of Kimberly J Bloss COTA are for informational purposes only.