Shane Meyer, COTA
NPI #1568844140 in Fort Atkinson, Wisconsin
Provider Information
- NPI Number
- 1568844140
- Entity Type
- Individual
- Name
- Shane Meyer, COTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Jun 19, 2015
- Last Updated
- Jun 19, 2015
Practice Location
- Address
- 309 PARK ST
- Address 2
- APARTMENT 1
- City
- Fort Atkinson
- State
- Wisconsin
- ZIP Code
- 53538-2167
- Phone
- (715) 220-1767
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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