Individual
MISS DEBORAH ANN RODE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
430 WILCOX ST, FORT ATKINSON, WI 53538-1968
(920) 563-5533
(920) 563-5365
Mailing address
430 WILCOX ST, FORT ATKINSON, WI 53538-1968
(920) 563-5533
(920) 563-5365
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1564-027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40886000
—
WI
Enumeration date
05/12/2008
Last updated
05/12/2008
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