Individual
MISS CIERRA ROSE MECKELBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
335 N WESTHAVEN DR, OSHKOSH, WI 54904-5909
(920) 456-6000
Mailing address
N1713 HOT SPRINGS CT, GREENVILLE, WI 54942-8573
(920) 379-8164
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/17/2021
Last updated
08/17/2021
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