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Individual

DAWN MARIE SPANTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
742 STERBENZ DR, ST CROIX THERAPY INC, HUDSON, WI 54016-8327
(715) 386-2128
(715) 386-6119
Mailing address
742 STERBENZ DR, ST CROIX THERAPY INC, HUDSON, WI 54016-8327
(715) 386-2128
(715) 386-6119

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5054
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
5054
WISCONSIN LICENSE
WI
Enumeration date
10/17/2013
Last updated
10/17/2013
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