LESLEY LARSEN KOUNTZ

BROOKFIELD, WI
NPI1609059583
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  245)
Enumeration Date2007-12-13
Last Update Date2007-12-13
Business Address
-- LESLEY LARSEN KOUNTZ COTA
17280 W NORTH AVE #104
BROOKFIELD, WI 53045-4366
Phone number: 262-780-0707
Mailing Address
-- LESLEY LARSEN KOUNTZ COTA
17280 W NORTH AVE #104
BROOKFIELD, WI 53045-4366
Phone number: 262-780-0707
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