Individual
PAIGE CUPP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
316 E. FOURTEENTH STREET, KAUKAUNA, WI 54130-3308
(920) 766-6020
Mailing address
1828 DEXTER ST., NEW LONDON, WI 54961-8237
(920) 250-2900
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
508827
WI
Other
Enumeration date
09/09/2014
Last updated
01/14/2015
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