KRISTA C MARTIN

LAKE GENEVA, WI
NPI1699025114
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  4922-27)
Additional Taxonomies224Z00000X Occupational Therapy Assistant
(Licence: IL  057-003627)
Enumeration Date2012-09-12
Last Update Date2012-09-12
Business Address
-- KRISTA C MARTIN COTA
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147-2655
Phone number: 262-245-4990
Mailing Address
-- KRISTA C MARTIN COTA
N2950 STATE ROAD 67
LAKE GENEVA, WI 53147-2655
Phone number: 262-245-4990