Individual
NICOLE RAE SLETTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
N9581 FENSKE ROAD, DALTON, WI 53926
(608) 408-8692
Mailing address
N9581 FENSKE ROAD, DALTON, WI 53926
(608) 408-8692
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
4718
WI
225X00000X
Occupational Therapist
Primary
6947-26
WI
Other
Enumeration date
07/18/2019
Last updated
05/19/2021
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