Individual
ERIN B. KOSOLCHAROEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
N61W14539 BROOKSIDE DR, MENOMONEE FALLS, WI 53051-5881
(262) 781-3083
Mailing address
618 LONE OAK LN, VERONA, WI 53593-9526
(480) 620-6647
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3891-26
WI
Other
Enumeration date
08/17/2008
Last updated
09/10/2014
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