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JACQUELINE ECKES COTA

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

Registrant NPI Number: 1740520675

Individual Registrant:
 JACQUELINE  ECKES COTA
Gender: F
Not Sole Proprietor

Location and contact information for practice:
4879 3RD ST  VESPER, WI 54489-9412 US
Tel: 715-213-4406  Fax: --

Contact information for business:
4879 3RD ST  VESPER, WI 54489-9412 US
Tel: --  Fax: --

Registration Information:
NPI: 1740520675
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Occupational Therapy Assistant
WI484827

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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