NPI 1730950049

Crystal Marie Tadych, COTA

Practitioner Occupational Therapy Assistant Menasha, WI

Practice location

Address: 1700 Midway Rd, Menasha, WI 54952-1230
Phone: (920) 739-0111

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 7119-27 (WI)

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Registry record

NPI: 1730950049
Entity type: Individual
Sex (as registered): Female
NPI issued: 15 Jan 2024
Record last updated: 15 Jan 2024

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.