Individual
MS. MARY BETH ZONDLAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1807 PASO ROBLE WAY, MADISON, WI 53716-2418
(262) 620-1680
Mailing address
1807 PASO ROBLE WAY, MADISON, WI 53716-2418
(262) 620-1680
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4701-027
WI
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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