CRYSTAL LESHAYE WORD

MILWAUKEE, WI
NPI1013351956
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  496127)
Enumeration Date2013-04-22
Last Update Date2013-04-22
Business Address
-- CRYSTAL LESHAYE WORD COTA
4045A N 11TH ST
MILWAUKEE, WI 53209-7005
Phone number: 414-366-0904
Mailing Address
-- CRYSTAL LESHAYE WORD COTA
4045A N 11TH ST
MILWAUKEE, WI 53209-7005
Phone number: 414-366-0904