Individual
MRS. ASHLEY ELIZABETH WALTERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3541 PLOVER RD, WISCONSIN RAPIDS, WI 54494-2155
(715) 423-5423
(715) 423-1532
Mailing address
3541 PLOVER RD, WISCONSIN RAPIDS, WI 54494-2155
(715) 407-4660
(715) 407-4738
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5508-27
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1790278471
—
WI
Enumeration date
06/07/2018
Last updated
08/20/2020
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