Individual
KOURTNIE LYNN WEBER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1050 DIVISION ST, MAUSTON, WI 53948-1931
(608) 847-6161
Mailing address
1050 DIVISION ST, MAUSTON, WI 53948-1931
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7006-27
WI
Other
Enumeration date
09/07/2022
Last updated
09/07/2022
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