Tracy Jean Sherman C.O.T.A

NPI 1083821516 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1083821516
Gender Female
Enumeration Date 05/16/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
N27W5707 LINCOLN BLVD
CEDARBURG WI, 53012-2852, US
Phone (262) 376-7676
Fax
Business Location
806 W LA SALLE AVE
GLENDALE WI, 53209-4508, US
Phone
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Wisconsin
License Number 1298-027
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According to our database, Mrs. Tracy Jean Sherman C.O.T.A NPI is 1083821516, taxonomy code is 224Z00000X and license number is 1298-027, license state is located at Wisconsin. Tracy Jean Sherman C.O.T.A physically located at N27w5707 Lincoln Blvd, Cedarburg WI, 53012-2852. NPI Number Tracy Jean Sherman C.O.T.A has the Individual type.

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1083821516 NPI number is provided on an as is basis without warranty of any kind. 1083821516 is maintained by the National Plan & Provider Enumeration System. The contents of Tracy Jean Sherman C.O.T.A are for informational purposes only.