Individual
MISS SARA ANN ALFSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1235 S 24TH ST, MANITOWOC, WI 54220-5516
(920) 646-0009
Mailing address
1003 FROST RD, APT. 7, HOWARDS GROVE, WI 53083-5702
(920) 646-0009
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2042-027
WI
Other
Enumeration date
05/03/2007
Last updated
07/08/2007
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