Individual
NICOLLE KASS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1105 CEDAR RD, BOSCOBEL, WI 53805-1761
(608) 332-3602
Mailing address
3631 NAPOLI LN APT 2, MIDDLETON, WI 53562-2160
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1989-027
WI
Other
Enumeration date
05/19/2008
Last updated
11/12/2024
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