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CALLIE DEVRIES COTA

>> Occupational Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1962094797

Individual Registrant:
 CALLIE  DEVRIES COTA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
N7831 LOUISE LN  RANDOLPH, WI 53956-9758 US
Tel: 920-296-1713  Fax: --

Contact information for business:
N7831 LOUISE LN  RANDOLPH, WI 53956-9758 US
Tel: 920-296-1713  Fax: --

Registration Information:
NPI: 1962094797
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
WI5746-27

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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