Individual
KAREN S MACHHOLZWESELY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
400 HIGHLAND ST, FAIRFIELD, IA 52556-3713
(641) 469-4353
Mailing address
2524 FRANKLIN AVE, MT PLEASANT, IA 52641-8115
(641) 469-4353
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
004885
MO
224Z00000X
Occupational Therapy Assistant
Primary
00627
IA
Other
Enumeration date
04/04/2007
Last updated
07/08/2007
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