Individual
JULIE ANDRES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1700 MIDWAY RD, MENASHA, WI 54952-1230
(920) 993-9980
Mailing address
3709 E GLORY LN APT 8, APPLETON, WI 54913-8104
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5380-27
WI
Other
Enumeration date
12/27/2017
Last updated
12/27/2017
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