Individual
MRS. SAMANTHA RAE BRAATEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
313 S PRAIRIE ST, CHIPPEWA FALLS, WI 54729-2844
(715) 225-9611
Mailing address
313 S PRAIRIE ST, CHIPPEWA FALLS, WI 54729-2844
(715) 225-9611
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4787-27
WI
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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