Eileen M Fossum, COTA

NPI #1023500741 in Viroqua, Wisconsin

Provider Information

NPI Number
1023500741
Entity Type
Individual
Name
Eileen M Fossum, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
May 30, 2018
Last Updated
Jun 16, 2018

Practice Location

Address
614 S ROCK AVE
ZIP Code
54665-1936
Phone
(608) 637-2171

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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