NPI 1417587866

Larae Tessman, COTA

Practitioner Occupational Therapy Assistant West Salem, WI

Practice location

Address: 713 Leonard St N, West Salem, WI 54669-1229
Phone: (608) 786-1600

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 5688-27 (WI)

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Registry record

NPI: 1417587866
Entity type: Individual
Sex (as registered): Female
NPI issued: 23 Jan 2020
Record last updated: 23 Jan 2020

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.