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Individual

KARA ELYSE HOMOLA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
10150 W NATIONAL AVE STE 390, MILWAUKEE, WI 53227-2145
(414) 545-4430
Mailing address
525 12TH AVE, UNION GROVE, WI 53182-1203
(815) 814-7421

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7071-27
WI

Other

Enumeration date
08/08/2023
Last updated
08/08/2023
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