JUSTINE ANN BANTLE

PESHTIGO, WI
NPI1427203827
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  1992-027)
Enumeration Date2008-11-26
Last Update Date2008-11-26
Business Address
-- JUSTINE ANN BANTLE COTA
701 WILLOW ST
PESHTIGO, WI 54157
Phone number: 715-582-3962
Mailing Address
-- JUSTINE ANN BANTLE COTA
N2969 GREEN GABLE ROAD
MARINETTE, WI 54143
Phone number: 715-735-8970
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