TAISHA DOUGLAS

LA CROSSE, WI
NPI1477207405
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WI  6415)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: MN  105565)
Enumeration Date2022-02-08
Last Update Date2023-10-19
Business Address
TAISHA DOUGLAS OT
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300
Mailing Address
TAISHA DOUGLAS OT
1836 SOUTH AVE
LA CROSSE, WI 54601-5429
Phone number: 608-782-7300