Individual
MS. MIKAYLA JANICE RITOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
NORTHERN LIGHTS SERVICES, INC 706 BRATLEY DRIVE, WASHBURN, WI 54891
(715) 373-6425
(715) 373-5655
Mailing address
706 BRATLEY DRIVE, WASHBURN, WI 54891
(715) 373-6425
(715) 373-5655
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5514-27
WI
Other
Enumeration date
11/27/2018
Last updated
11/27/2018
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