Individual
MRS. ANGELA MARY KLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3020 S 97TH ST, WEST ALLIS, WI 53227-3628
(414) 510-0647
Mailing address
3020 S 97TH ST, WEST ALLIS, WI 53227-3628
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4649-27
WI
Other
Enumeration date
11/30/2011
Last updated
08/15/2024
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