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1255965430
AUTUMN BRIDGET ANDERSON
OSHKOSH, WI
NPI
1255965430
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 5618-27)
Enumeration Date
2020-02-26
Last Update Date
2020-02-26
Business Address
AUTUMN BRIDGET ANDERSON COTA
500 S OAKWOOD RD
OSHKOSH, WI 54904-7944
Phone number: 920-223-2000
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Mailing Address
AUTUMN BRIDGET ANDERSON COTA
631 E CALUMET ST
APPLETON, WI 54915-1921
Phone number: 920-707-2269
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