Individual
MRS. OLIVIA KATHERINE MAXINOSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
614 S ROCK AVE, VIROQUA, WI 54665-1936
(608) 637-2171
Mailing address
2317 JACKSON ST, LA CROSSE, WI 54601-5965
(715) 897-0533
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
08/13/2020
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