Individual
MS. KIM MARIE RASMUSSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1317 W GRAND AVE, PORT WASHINGTON, WI 53074-2075
(262) 284-2261
(262) 284-4641
Mailing address
631 E CEDAR LN, MEQUON, WI 53092-6106
(262) 241-5448
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1519-026
WI
Other
Enumeration date
08/11/2006
Last updated
07/08/2007
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