Individual
DANIELLE CLARE MATUSZAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
620 GRANDVIEW AVE, BLAIR, WI 54616-5461
(608) 989-2195
Mailing address
1022 25TH ST S, LA CROSSE, WI 54601-6091
(608) 732-0944
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5445-27
WI
Other
Enumeration date
09/26/2017
Last updated
03/17/2018
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