Individual
AMY ALISSA KOHLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
403 N MAPLE ST, ELLSWORTH CARE CENTER, ELLSWORTH, WI 54011
(715) 273-5821
Mailing address
403 N, MAPLE, ELLSWORTH CARE CENTER, ELLSWORTH, WI 54011
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
840-27
WI
Other
Enumeration date
01/12/2012
Last updated
01/12/2012
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