Individual
MARY SOBOTKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
196 HOME RD, JUNEAU, WI 53039-1402
(920) 386-9733
Mailing address
12024 W LANGLADE ST, MILWAUKEE, WI 53225-1016
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
WI
Other
Enumeration date
02/22/2018
Last updated
02/22/2018
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