Most Relevant Information
Provider Data
| NPI Number: | 1003305103 |
| Provider Name: | KASSANDRA KRAUSE COTA |
| Entity Type: | Individual |
| Taxonomy Code: | 224Z00000X |
| Specialty: | Occupational Therapy Assistant |
| License Number: | 5497-27 |
Most Important Dates
| Enumeration Date: | 05/03/2018 |
| Last Updated: | 05/03/2018 |
Provider Practice Location
5625 SANDPIPER DR
STEVENS POINT
WI
544828974
Practice Location Phone/Fax
| Phone: | 7153437376 |
| Fax: |
Provider Mailing Location
1902 MOUNTAIN ASH LN
LITTLE CHUTE
WI
541401166
Provider Mailing Phone/Fax
| Phone: | 9202842082 |
| Fax: |