Individual
MICHELLE MARIE THRASHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
W412 HIGHWAY 70, STONE LAKE, WI 54876-8745
(715) 699-0366
Mailing address
W412 HIGHWAY 70, STONE LAKE, WI 54876-8745
(715) 939-2899
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
201675
MN
224Z00000X
Occupational Therapy Assistant
Primary
4856-027
WI
Other
Enumeration date
11/21/2012
Last updated
11/25/2012
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