Individual
MELISSA J LATHROP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1020 HILL ST, WATERTOWN, WI 53098-3016
(920) 206-4935
Mailing address
704 LEXINGTON BLVD., FORT ATKINSON, WI 53538-9322
(920) 650-7728
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4923-27
WI
Other
Enumeration date
08/29/2012
Last updated
02/26/2013
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