JOLENE MARIE HERLITZKE-FOSS

VIROQUA, WI
NPI1598033680
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  2063-27)
Enumeration Date2011-12-05
Last Update Date2011-12-05
Business Address
Mrs. JOLENE MARIE HERLITZKE-FOSS COTA
E7404A COUNTY ROAD BB
VIROQUA, WI 54665-7502
Phone number: 608-637-5422
Mailing Address
Mrs. JOLENE MARIE HERLITZKE-FOSS COTA
N5116 GREEN COULEE RD
ONALASKA, WI 54650-8208
Phone number: