Individual
KATIE LORRIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2021 S ALVERNO RD, MANITOWOC, WI 54220-9208
(920) 683-4108
Mailing address
17012 FENLON RD, REEDSVILLE, WI 54230-9798
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5706-27
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5706-27
LICENSE NUMBER
WI
Enumeration date
04/27/2021
Last updated
04/27/2021
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