Individual
MRS. MARCI R FOUTCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
125 HOSPITAL DR, WATERTOWN, WI 53098-3303
(920) 262-4220
Mailing address
412 E WATER ST, WATERTOWN, WI 53094-5311
(920) 262-6326
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1800-027
WI
Other
Enumeration date
03/28/2007
Last updated
07/08/2007
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