Individual
KATIE LYNN HALE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2995 SUB ZERO PKWY, FITCHBURG, WI 53719-8801
(608) 819-6394
Mailing address
3108 SHADYSIDE DR, STOUGHTON, WI 53589-3246
(608) 443-6325
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5734-27
WI
224Z00000X
Occupational Therapy Assistant
—
—
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
09/15/2020
Last updated
12/11/2024
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