Individual
JUSTIN SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
228 W MAIN ST, SUN PRAIRIE, WI 53590-2908
(608) 251-1171
Mailing address
228 W MAIN ST, SUN PRAIRIE, WI 53590-2908
(608) 251-1171
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4819-27
WI
Other
Enumeration date
02/12/2015
Last updated
02/26/2015
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