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Individual

MRS. ANN CATHERINE ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
115 E ARNDT ST, FOND DU LAC, WI 54935-2461
(920) 923-7054
Mailing address
115 E ARNDT ST, FOND DU LAC, WI 54935-2461
(920) 923-7054

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
553-027
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40731900
WI
Enumeration date
09/21/2008
Last updated
09/21/2008
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