Individual
DIANE MARIE MAROTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1902 MEAD AVE, SHEBOYGAN, WI 53081
(920) 458-8333
(920) 458-6837
Mailing address
1902 MEAD AVE, SHEBOYGAN, WI 53081
(920) 458-8333
(920) 458-6837
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
374-27
WI
Other
Enumeration date
09/30/2010
Last updated
10/26/2011
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