AMY ANNA JACOB

LONE ROCK, WI
NPI1730347006
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  899027)
Enumeration Date2008-05-23
Last Update Date2008-05-23
Business Address
-- AMY ANNA JACOB COTA
27672 ONION HOLLOW LANE
LONE ROCK, WI 53556-9002
Phone number: 608-475-9151
Mailing Address
-- AMY ANNA JACOB COTA
27672 ONION HOLLOW LN
LONE ROCK, WI 53556-9002
Phone number: 608-475-9151
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