Individual
MRS. KATHLEEN MARIE ANDERSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
13111 N PORT WASHINGTON RD, MEQUON, WI 53097-2416
(262) 243-7300
Mailing address
N55W14119 CAROL DR, MENOMONEE FALLS, WI 53051-6803
(414) 426-4263
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3975 - 26
WI
Other
Enumeration date
08/10/2006
Last updated
07/08/2007
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