Individual
KIANA D SPANBAUER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
3321 LOGAN DR APT 7, OSHKOSH, WI 54901-1178
(920) 410-5660
Mailing address
1635 WEBSTER WAY, WAUPACA, WI 54981-2303
(910) 410-5660
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5671-27
WI
Other
Enumeration date
03/19/2020
Last updated
06/28/2022
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