Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EILEEN M FOSSUM, COTA
Active Sole ProprietorEILEEN M FOSSUM, COTA is a Occupational Therapy Assistant healthcare provider located in VIROQUA, Wisconsin. NPI 1023500741 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapy Assistant · VIROQUA, WI
Registration Details
- NPI Number
- 1023500741
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 30, 2018 (8.0276692669912 yrs)
- Last Updated
- Jun 16, 2018
- License
-
4813-27 (WI)
- Sole Proprietor
- Yes
Practice Information
- Address
-
614 S ROCK AVEVIROQUA, WI, 546651936Browse WI providers · Browse ZIP 54665
- Phone
- 6086372171
- Primary Specialty
-
Occupational Therapy Assistant
224Z00000X
Other Occupational Therapy Assistant Providers in VIROQUA, WI
| Name | Credential | NPI |
|---|---|---|
| MS. HEATHER D WUOLLE | COTA | 1376520072 |
| RACHEL HENDRICKS | COTA | 1932376589 |
| MRS. JOLENE MARIE HERLITZKE-FOSS | COTA | 1598033680 |
| ELIZABETH ANN MCCLELLAND | — | 1649533217 |
| DIEDRE LYNN ARMSTRONG | COTA | 1619307477 |
| MRS. ANDREA YTTRI | COTA | 1447648688 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.