Individual
DENISE MARIE LATSCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L; OTA
Contact information
Practice address
1800 NEW YORK AVE, SUPERIOR, WI 54880-2008
(715) 394-5591
Mailing address
1817 HUGHITT AVE, SUPERIOR, WI 54880-2713
(715) 392-1440
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5170-21
WI
Other
Enumeration date
01/31/2018
Last updated
01/31/2018
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