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KATY LYNETTE REINDERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
17280 W NORTH AVE STE 104, BROOKFIELD, WI 53045-4366
(262) 780-0707
Mailing address
14775 W HIDDEN CREEK CT, NEW BERLIN, WI 53151-4463
(262) 617-2222

Taxonomy

Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
4153-026
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40889600
WI
Enumeration date
10/29/2006
Last updated
08/28/2008
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