MR. Eric Keith Tischendorf, COTA

NPI #1831222116 in Antigo, Wisconsin

Provider Information

NPI Number
1831222116
Entity Type
Individual
Name
MR. Eric Keith Tischendorf, COTA
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Mar 14, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
112 E 5TH AVE
City
Antigo
ZIP Code
54409-2710
Phone
(715) 623-9449

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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