Individual
TESSA KITZMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
729 PARK ST, ANTIGO, WI 54409-2745
(715) 623-2356
Mailing address
729 PARK ST, ANTIGO, WI 54409-2745
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5581
WI
Other
Enumeration date
01/27/2019
Last updated
01/27/2019
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