Individual
KARISSA VANCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
825 WHITING AVE, STEVENS POINT, WI 54481-5246
(715) 346-1374
(715) 346-1673
Mailing address
825 WHITING AVE, STEVENS POINT, WI 54481-5246
(715) 346-1374
(715) 346-1673
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5577-27
WI
224Z00000X
Occupational Therapy Assistant
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Other
Enumeration date
04/04/2019
Last updated
04/04/2019
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