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Individual

KARLA JEAN DRAVES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
C.O.T.A.

Contact information

Practice address
2448 S 102ND ST, SIUTE NUMBER 340, MILWAUKEE, WI 53227-2466
(414) 329-2431
Mailing address
570 E AZALEA TER, BELOIT, WI 53511-1602

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
057001574
IL
224Z00000X
Occupational Therapy Assistant
Primary
343-27
WI

Other

Enumeration date
12/12/2011
Last updated
12/12/2011
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