Individual
CARISSA ANN VERHASSELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1436 S LINCOLN ST, SHAWANO, WI 54166-3427
(715) 526-6111
Mailing address
N4211 MCCABE RD, KAUKAUNA, WI 54130-7743
(920) 810-4931
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5552-27
WI
Other
Enumeration date
11/11/2018
Last updated
10/26/2025
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