Individual
MS. ELLEN PESTCOE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
43188 GUTHRIE RD, GAYS MILLS, WI 54631-8266
(608) 872-2407
Mailing address
507 S .MAIN ST., VERNON MEMORIAL HEALTHCARE, VIROQUA, WI 54665
(608) 637-4385
(608) 637-4382
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1714-26
WI
Other
Enumeration date
01/16/2015
Last updated
01/16/2015
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