Individual
KATHLEEN KOSTNER-RASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
333 PINE RIDGE BLVD, WAUSAU, WI 54401-4120
(715) 847-2826
Mailing address
PO BOX 1008, WAUSAU, WI 54402-1008
(715) 847-2121
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2192-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40744800
—
WI
Enumeration date
12/28/2006
Last updated
07/08/2007
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