MYLINDA ROSE BARISAS-MATULA

SHEBOYGAN, WI
NPI1104049402
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WI  1913-026)
Enumeration Date2007-04-11
Last Update Date2007-07-08
Business Address
Mrs. MYLINDA ROSE BARISAS-MATULA OT
2629 N 7TH ST
SHEBOYGAN, WI 53083-4932
Phone number: 920-451-5634
Mailing Address
Mrs. MYLINDA ROSE BARISAS-MATULA OT
417 SAINT CLAIR AVE
SHEBOYGAN, WI 53081-3562
Phone number: 920-451-4651