Individual
MRS. DAWN RAE SPENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(608) 372-3971
(608) 372-1724
Mailing address
515 SCHALLER ST, TOMAH, WI 54660-2845
(608) 372-3869
(608) 372-1724
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
140027
WI
Other
Enumeration date
07/06/2006
Last updated
07/08/2007
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