Individual
TAMMI BOYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
3271 NORTH ST, EAST TROY, WI 53120-1147
(262) 642-3995
Mailing address
3271 NORTH ST, EAST TROY, WI 53120-1147
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1436-27
WI
Other
Enumeration date
02/27/2013
Last updated
05/29/2013
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