NPI 1013252295

Emily a Bourg, COTA

Practitioner Occupational Therapy Assistant Marshfield, WI

Practice location

Address: 814 W 14th St, Marshfield, WI 54449-4030
Phone: (715) 401-0997
Mailing address: 300 E 21st St, Marshfield, WI 54449-5023

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 4850-27 (WI)

Other Occupational Therapy Assistant providers in Wisconsin →

Registry record

NPI: 1013252295
Entity type: Individual
Sex (as registered): Female
NPI issued: 29 Nov 2012
Record last updated: 29 Nov 2012

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.