Individual
ROCHELLE RENEE MUSTARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
112 JEFFERSON ST, WEST UNION, IA 52175-1022
(563) 422-3811
Mailing address
22 4TH AVE NE, OELWEIN, IA 50662-1934
(319) 283-8017
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
000809
IA
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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