Individual
GRACE PAGENKOPF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3656 MALL DR, EAU CLAIRE, WI 54701-7634
(715) 552-1035
Mailing address
23403 COUNTY HIGHWAY SS, NEW AUBURN, WI 54757-5727
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7270-27
WI
Other
Enumeration date
09/04/2025
Last updated
09/04/2025
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