LISA ANN WACHOWIAK

SHEBOYGAN, WI
NPI1982877346
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  387-027)
Enumeration Date2008-04-08
Last Update Date2008-04-08
Business Address
-- LISA ANN WACHOWIAK COTA
3129 MICHIGAN AVE
SHEBOYGAN, WI 53081-3062
Phone number: 920-458-1155
Mailing Address
-- LISA ANN WACHOWIAK COTA
3129 MICHIGAN AVE
SHEBOYGAN, WI 53081-3062
Phone number: 920-458-1155
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