Individual
MRS. KATHLEEN DIANE JONES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
S5697 DEVILS CROWN DR, BARABOO, WI 53913-8833
(608) 356-1075
Mailing address
S5697 DEVILS CROWN DR, BARABOO, WI 53913-8833
(608) 356-1075
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2197-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40745600
—
WI
Enumeration date
04/16/2008
Last updated
04/16/2008
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