Individual
MRS. DONNA MARIE COLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3833 W LEAH AVE, FRANKLIN, WI 53132-8357
(414) 421-1058
Mailing address
3833 W LEAH AVE, FRANKLIN, WI 53132-8357
(414) 421-1058
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
697-027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40753500
—
WI
Enumeration date
04/07/2008
Last updated
04/07/2008
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