TAMMIE EILEEN DEMICCO

ELKHORN, WI
NPI1245458140
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  1812-027)
Enumeration Date2007-04-23
Last Update Date2007-07-08
Business Address
Miss TAMMIE EILEEN DEMICCO COTA
1922 COUNTY RD. NN
ELKHORN, WI 53121
Phone number: 262-741-3630
Mailing Address
Miss TAMMIE EILEEN DEMICCO COTA
14 WILDWOOD CT UNIT D
WILLIAMS BAY, WI 53191-9647
Phone number: 262-245-0219