Cheryl Cade, COTA

Individual provider Active NPI Occupational Therapy Assistant · Viroqua, WI

NPI 1306237615 · NPPES record last updated Feb 9, 2015

Key facts

NPI
1306237615
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
296-27 (WI)
Practice address
507 S Main St
Viroqua, WI 54665-2059
Phone
(608) 637-4385
Fax
(608) 637-4382
NPI assigned
Feb 9, 2015
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
296-27WIMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 296-27 WI Yes

Addresses

Primary practice location

507 S Main St
Viroqua, WI 54665-2059

Mailing address

507 S Main St
Viroqua, WI 54665-2059
Phone (608) 637-4385

Other providers in Viroqua, WI

All providers in Viroqua, WI · Occupational Therapy Assistant in Wisconsin

Sources for this page

Verify at the official NPI Registry.