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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. DESTRY ALLEN FRITZ, COTA

Active

MR. DESTRY ALLEN FRITZ, COTA is a Occupational Therapy Assistant healthcare provider located in DELAVAN, Wisconsin. NPI 1407068612 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · DELAVAN, WI

Registration Details

NPI Number
1407068612
Provider Type
Individual
Gender
Male
NPI Issued
May 3, 2007 (19.244693370671 yrs)
Last Updated
Jul 8, 2007
License
1318-027 (WI)

Practice Information

Address
905 E GENEVA ST
DELAVAN, WI, 531151922
Browse WI providers · Browse ZIP 53115
Phone
2627281442
Fax
2627286693
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in DELAVAN, WI

Name Credential NPI
MRS. ANNE MARIE BARRY COTA 1508027160
MISS RACHEL MARIE NORDENTOFT 1639455835
ERIN JEANNE MURPHY COTA/L 1194092387
KAMRYN CLIFFORD 1326425760
AMANDA HUERTA 1902686405
TORIE BOCKEY 1619734423
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.