Individual
AIMEE THEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
817 SAINT JOHN ST, COTTAGE GROVE, WI 53527-8912
(608) 772-5773
Mailing address
817 SAINT JOHN ST, COTTAGE GROVE, WI 53527-8912
(608) 772-5773
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4951-27
WI
Other
Enumeration date
05/21/2026
Last updated
05/21/2026
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