Individual
ALYSIA FERREIRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2823 N 90TH ST, MILWAUKEE, WI 53222-4610
(414) 517-1630
Mailing address
2823 N 90TH ST, MILWAUKEE, WI 53222-4610
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5431-27
WI
Other
Enumeration date
10/06/2017
Last updated
10/06/2017
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