Individual
CALLIE DEVRIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
N7831 LOUISE LN, RANDOLPH, WI 53956-9758
(920) 296-1713
Mailing address
N7831 LOUISE LN, RANDOLPH, WI 53956-9758
(920) 296-1713
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5746-27
WI
Other
Enumeration date
02/03/2021
Last updated
02/03/2021
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