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Individual

ANN MASTROSTEFANO

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
5219 88TH AVE, KENOSHA, WI 53144-7468
(262) 653-0850
Mailing address
5219 88TH AVE, KENOSHA, WI 53144-7468
(262) 653-0850

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5098-27
WI

Other

Enumeration date
12/09/2014
Last updated
12/09/2014
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