Individual
CYNTHIA J FRESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8443A STEEPLE HILL DR, LARSEN, WI 54947-9696
(920) 988-0928
Mailing address
8443A STEEPLE HILL DR, LARSEN, WI 54947-9696
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5013-27
WI
Other
Enumeration date
02/19/2014
Last updated
02/19/2014
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