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1184931511
KAYLA MARTHA HENKEL
GREEN BAY, WI
NPI
1184931511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 470327)
Enumeration Date
2010-09-07
Last Update Date
2010-09-07
Business Address
-- KAYLA MARTHA HENKEL COTA
1040 PILGRIM WAY
GREEN BAY, WI 54304-5028
Phone number: 920-405-3522
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Mailing Address
-- KAYLA MARTHA HENKEL COTA
1291 LAKEVIEW LN
MENASHA, WI 54952-1327
Phone number: 920-428-1260
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