Individual
MS. JADE MOSETI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2600 WARD AVE, LA CROSSE, WI 54601-7424
(608) 787-8200
Mailing address
1328 GEORGE ST, LA CROSSE, WI 54603-2457
(608) 782-1220
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
4719-027
WI
Other
Enumeration date
08/18/2010
Last updated
08/18/2010
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