Individual
MS. KASEY CATHERINE RENNICKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2400 MARSHALL ST, WAUSAU, WI 54403-6738
(715) 848-4306
Mailing address
207 W ELDRED ST APT 16, WAUSAU, WI 54401-2687
(920) 840-2910
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4971-27
WI
Other
Enumeration date
05/31/2017
Last updated
05/31/2017
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