Individual
KRISTIN T WOLLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
601 S CENTER AVE, MERRILL, WI 54452-3404
(715) 539-2466
Mailing address
601 S CENTER AVE, MERRILL, WI 54452-3404
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
890-27
WI
Other
Enumeration date
05/21/2013
Last updated
05/21/2013
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