MR. Destry Allen Fritz, COTA

NPI #1407068612 in Delavan, Wisconsin

Provider Information

NPI Number
1407068612
Entity Type
Individual
Name
MR. Destry Allen Fritz, COTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
May 3, 2007
Last Updated
Jul 8, 2007

Practice Location

Address
905 E GENEVA ST
ZIP Code
53115-1922
Phone
(262) 728-1442

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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