Tyler Christian Mogensen, COTA

NPI #1003569815 in Appleton, Wisconsin

Provider Information

NPI Number
1003569815
Entity Type
Individual
Name
Tyler Christian Mogensen, COTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Feb 1, 2022
Last Updated
Feb 1, 2022

Practice Location

Address
325 E FLORIDA AVE
ZIP Code
54911-1325
Phone
(920) 731-7310

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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