Individual
MRS. JULIE ANN RISTOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1717 N 60TH ST, MILWAUKEE, WI 53208-1635
(414) 421-8783
Mailing address
1717 N 60TH ST, MILWAUKEE, WI 53208-1635
(414) 421-8783
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4777-027
WI
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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