Individual
MIRANDA TAYLER CULOTTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1051 CLARK ST, REEDSBURG, WI 53959-2321
(608) 524-7500
Mailing address
711 PRAIRIE ST, MAUSTON, WI 53948-1737
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
11/20/2017
Last updated
11/20/2017
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