Emily A Bourg, COTA

NPI #1013252295 in Marshfield, Wisconsin

Provider Information

NPI Number
1013252295
Entity Type
Individual
Name
Emily A Bourg, COTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Nov 29, 2012
Last Updated
Nov 29, 2012

Practice Location

Address
814 W 14TH ST
ZIP Code
54449-4030
Phone
(715) 401-0997

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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