LARISSA DAWN MCCOLLISTER

NEW BERLIN, WI
NPI1629388806
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WI  4905-026)
Additional Taxonomies225X00000X Occupational Therapist
(Licence: SD  0766)
Enumeration Date2010-10-20
Last Update Date2010-10-20
Business Address
-- LARISSA DAWN MCCOLLISTER M.S. OTR/L
2895 S MOORLAND RD
NEW BERLIN, WI 53151-3743
Phone number: 262-782-9015
Mailing Address
-- LARISSA DAWN MCCOLLISTER M.S. OTR/L
719 S 122ND ST
WEST ALLIS, WI 53214-2010
Phone number: