EILEEN M FOSSUM

VIROQUA, WI
NPI1023500741
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  4813-27)
Enumeration Date2018-05-30
Last Update Date2018-06-16
Business Address
EILEEN M FOSSUM COTA
614 S ROCK AVE
VIROQUA, WI 54665-1936
Phone number: 608-637-2171
Mailing Address
EILEEN M FOSSUM COTA
N1530 BREIDEL COULEE RD
LA CROSSE, WI 54601-2168
Phone number: 608-397-8368
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