Individual
PAMELA R ARNESON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4401 N MAIN ST, ROCKFORD, IL 61103-1277
(779) 771-6866
Mailing address
4401 N MAIN ST, ROCKFORD, IL 61103-1277
(779) 771-6866
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.001513
IL
224Z00000X
Occupational Therapy Assistant
397-27
WI
Other
Enumeration date
08/30/2011
Last updated
11/05/2012
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