Individual
MARISSA TOELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1505 BUTTS AVE, TOMAH, WI 54660-2405
(608) 372-3241
Mailing address
217 E PARK ST, NEW LISBON, WI 53950-1353
(608) 547-5516
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5517-27
WI
Other
Enumeration date
12/26/2018
Last updated
12/26/2018
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