Individual
KATHI SUE BOZIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
4500 W LOOMIS RD, GREENFIELD, WI 53220-4819
(414) 325-5300
Mailing address
4500 W LOOMIS RD, GREENFIELD, WI 53220-4819
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
712-027
WI
Other
Enumeration date
04/17/2008
Last updated
04/17/2008
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