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Individual

DEANNA MARIE CROSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
208 S RUTLAND ST, BROOKLYN, WI 53521-9503
(608) 225-8344
Mailing address
208 S RUTLAND ST, BOOKLYN, WI 53521
(608) 225-8344

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1002027
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
10020027
OCCUPATIONAL THERAPY ASSISTANT LICENSE
WI
01
1730
COTA LICENSE CERTIFICATE
CA
01
993744
NBCOT CRTIFICATION
WI
Enumeration date
07/01/2008
Last updated
07/01/2008
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