Individual
TEAGAN MARCOUILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
323 W MONROE ST, WYOCENA, WI 53969-7168
(608) 429-2181
Mailing address
203 6TH ST, WAUNAKEE, WI 53597-1631
(608) 440-0302
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
539194
WI
Other
Enumeration date
09/22/2025
Last updated
09/22/2025
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