Individual
ASHLEA SHANTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, COTA/L
Contact information
Practice address
2927 S FISH HATCHERY RD, FITCHBURG, WI 53711-6498
(608) 819-6394
Mailing address
2927 S FISH HATCHERY RD, FITCHBURG, WI 53711-6498
(608) 819-6394
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7037-27
WI
224Z00000X
Occupational Therapy Assistant
—
WI
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
02/21/2022
Last updated
11/13/2022
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