Individual
EMILY EIZABETH VAVRA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1405 TRUAX BLVD, EAU CLAIRE, WI 54703
(715) 552-1030
Mailing address
1405 TRUAX BLVD, EAU CLAIRE, WI 54703
(715) 552-1030
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7104
WI
Other
Enumeration date
10/04/2023
Last updated
10/04/2023
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