Individual
HEATHER KAYE ROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2600 65TH AVE, OSCEOLA, WI 54020-4370
(715) 294-1116
Mailing address
PO BOX 275, OSCEOLA, WI 54020-0275
(715) 245-3025
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5131-27
WI
Other
Enumeration date
03/31/2017
Last updated
03/31/2017
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