Individual
HALEY PASEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
236 CHURCH ST, FALL RIVER, WI 53932-9720
(920) 872-0807
Mailing address
236 CHURCH ST, FALL RIVER, WI 53932-9720
(920) 872-0807
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5512-27
WI
Other
Enumeration date
06/29/2018
Last updated
06/29/2018
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