Individual
ERIN S. KONICHEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
900 COLLEGE AVE W, LADYSMITH, WI 54848-2116
(715) 532-5561
(715) 532-5146
Mailing address
900 COLLEGE AVE W, LADYSMITH, WI 54848-2116
(715) 532-5561
(715) 532-5146
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4836-027
WI
Other
Enumeration date
11/19/2012
Last updated
11/19/2012
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