Individual
KARISSA HALVORSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
113 4TH AVENUE, SHELL LAKE, WI 54871
(715) 468-7833
(715) 468-7839
Mailing address
113 4TH AVENUE, SHELL LAKE, WI 54871
(715) 468-7833
(715) 468-7839
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5405-27
WI
Other
Enumeration date
10/11/2017
Last updated
05/09/2024
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