Individual
TIFFANY A KINZEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COT
Contact information
Practice address
2300 WESTERN AVE, MANITOWOC, WI 54220-3712
(920) 320-2250
(920) 320-2322
Mailing address
2300 WESTERN AVE, PO BOX 2170, MANITOWOC, WI 54220-3712
(920) 320-2250
(920) 320-2322
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
368726
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41220000
—
WI
Enumeration date
08/12/2011
Last updated
08/12/2011
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