Individual
PAMELA J SONDALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3305 N BALLARD RD STE C, APPLETON, WI 54911-9001
(920) 735-9234
Mailing address
436 ARDMORE AVE, RIPON, WI 54971-1703
(920) 748-0209
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
119
WI
Other
Enumeration date
01/30/2007
Last updated
07/08/2007
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