Individual
PAMELA KAY CANTRALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1905 W HART RD, BELOIT, WI 53511-2230
(608) 365-2554
Mailing address
440 MAJOR WAY, SUN PRAIRIE, WI 53590-2720
(920) 344-6360
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
931-27
WI
Other
Enumeration date
07/25/2011
Last updated
07/25/2011
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