Tammie Eileen Demicco COTA

NPI 1245458140 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1245458140
Gender Female
Enumeration Date 04/23/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1922 COUNTY RD. NN
ELKHORN WI, 53121, US
Phone (262) 741-3630
Fax (262) 743-1855
Business Location
14 WILDWOOD CT UNIT D
WILLIAMS BAY WI, 53191-9647, US
Phone (262) 245-0219
Fax (262) 728-7129
Toxanomy
Taxonomy Code 224Z00000X
License State Wisconsin
License Number 1812-027
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According to our database, Miss Tammie Eileen Demicco COTA NPI is 1245458140, taxonomy code is 224Z00000X and license number is 1812-027, license state is located at Wisconsin. Tammie Eileen Demicco COTA physically located at 1922 County Rd. Nn, Elkhorn WI, 53121. NPI Number Tammie Eileen Demicco COTA has the Individual type.

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1245458140 NPI number is provided on an as is basis without warranty of any kind. 1245458140 is maintained by the National Plan & Provider Enumeration System. The contents of Tammie Eileen Demicco COTA are for informational purposes only.