EILEEN FOSSUM, COTA
Occupational Therapy Assistant
Active
Individual
NPI: 1023500741
Specialties
| Specialty | Code | Primary | License |
|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Yes | 4813-27 (WI) |
Frequently Asked Questions
NPI 1023500741 is the National Provider Identifier for EILEEN FOSSUM, COTA, a Occupational Therapy Assistant provider located in Viroqua, WI. This NPI was enumerated on May 30, 2018.
EILEEN FOSSUM, COTA practices at 614 S ROCK AVE, Viroqua, WI 54665.
Quick Facts
- NPI
- 1023500741
- Type
- Individual
- Enumerated
- May 30, 2018
- Last Updated
- Jun 16, 2018
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