CAROLINE MATLOCK

SHEBOYGAN, WI
NPI1790140184
Former NameCAROLINE SCHMITZ
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  5205)
Enumeration Date2015-12-29
Last Update Date2015-12-29
Business Address
-- CAROLINE MATLOCK COTA
1902 MEAD AVE
SHEBOYGAN, WI 53081-6140
Phone number: 920-458-8333
Mailing Address
-- CAROLINE MATLOCK COTA
2225 SAMANTHA ST APT 43
DE PERE, WI 54115-8047
Phone number: 920-450-4192
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