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Organization
KUJAWA LLC
Active
Organization
KUJAWA LLC
Active
Other names
Kujawa Mobile Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC M KUJAWA PT, DPT (OWNER)
(262) 949-3907
Entity
Organization
Contact information
Practice address
N50W16002 MAPLE CREST LN, MENOMONEE FALLS, WI 53051-6644
(262) 949-3907
Mailing address
N50W16002 MAPLE CREST LN, MENOMONEE FALLS, WI 53051-6644
(262) 949-3907
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
—
NULL
224Z00000X
Occupational Therapy Assistant
—
—
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
225200000X
Physical Therapy Assistant
—
NULL
225200000X
Physical Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
NULL
225X00000X
Occupational Therapist
—
—
2355S0801X
Speech-Language Assistant
—
NULL
2355S0801X
Speech-Language Assistant
—
—
235Z00000X
Speech-Language Pathologist
—
NULL
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
07/06/2020
Last updated
06/21/2023
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