Individual
MONICA TOMASELLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
68 ORCHARD ST, WILLIAMS BAY, WI 53191-9708
(262) 203-4963
Mailing address
484 FOX LN, WALWORTH, WI 53184-9792
(262) 203-4963
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
2602-26
WI
225X00000X
Occupational Therapist
Primary
940
SC
Other
Enumeration date
12/20/2016
Last updated
12/17/2024
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