Individual
KATHRYN LEIGH MATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
516 26TH AVE, MONROE, WI 53566-1531
(608) 325-9141
Mailing address
W7900 MEEK RD, ARLINGTON, WI 53911-9736
(608) 287-6654
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4772-027
WI
Other
Enumeration date
12/06/2011
Last updated
12/06/2011
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