Terese G Fabian COTA

NPI 1295904647 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1295904647
Gender Female
Enumeration Date 02/29/2008
Last Updated 02/29/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
3540 S 111TH ST
GREENFIELD WI, 53228-1104, US
Phone (414) 545-0782
Fax
Business Location
3540 S 111TH ST
GREENFIELD WI, 53228-1104, US
Phone (414) 545-0782
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Wisconsin
License Number 90-27
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According to our database, Mrs. Terese G Fabian COTA NPI is 1295904647, taxonomy code is 224Z00000X and license number is 90-27, license state is located at Wisconsin. Terese G Fabian COTA physically located at 3540 S 111th St, Greenfield WI, 53228-1104. NPI Number Terese G Fabian COTA has the Individual type.

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1295904647 NPI number is provided on an as is basis without warranty of any kind. 1295904647 is maintained by the National Plan & Provider Enumeration System. The contents of Terese G Fabian COTA are for informational purposes only.