BROOKE TANK

APPLETON, WI
NPI1508298084
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  302705)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: WI  4973-27)
Enumeration Date2013-08-06
Last Update Date2020-12-14
Business Address
BROOKE TANK COTA
325 E FLORIDA AVE
APPLETON, WI 54911-1325
Phone number: 920-731-7310
Mailing Address
BROOKE TANK COTA
301 S MAIN ST
BLACK CREEK, WI 54106-9518
Phone number: 920-419-1095