SearchWisconsinOccupational Therapy Assistant

Destry Fritz, COTA

NPI 1407068612 · on the registry since 2007

Practice

Address
905 E Geneva St
Delavan, WI 53115
Phone
(262) 728-1442
Fax
(262) 728-6693
Organisation at this address
Nsh Delavan Llc
Extendicare Homes, Inc.
Fmg East Geneva Street Wisconsin Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
15

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin