Individual
ELLA MARIE SLAGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
N2665 COUNTY RD QQ, WAUPACA, WI 54981
(715) 258-5586
Mailing address
2238 GOLDEN GATE DR APT 230, APPLETON, WI 54913-4216
(920) 960-6975
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5721-27
WI
Other
Enumeration date
09/21/2020
Last updated
09/21/2020
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