Individual
KIMBERLY J BLOSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 392-9768
(608) 392-7124
Mailing address
700 WEST AVE S, LA CROSSE, WI 54601-4783
(608) 392-9768
(608) 392-7124
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2049
WI
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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