NPI 1457666174

Jade Moseti, COTA

Practitioner Specialist La Crosse, WI

Practice location

Address: 2600 Ward Ave, La Crosse, WI 54601-7424
Phone: (608) 787-8200
Mailing address: 1328 George St, La Crosse, WI 54603-2457

Registered specialties

Specialist Primary

Other Service Providers Taxonomy 174400000X Licence 4719-027 (WI)

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Registry record

NPI: 1457666174
Entity type: Individual
Sex (as registered): Female
NPI issued: 18 Aug 2010
Record last updated: 18 Aug 2010

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.