Individual
RUTH KATULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
321 RIVERSIDE DR, PEWAUKEE, WI 53072-4612
(262) 691-2300
(262) 691-2184
Mailing address
N607 NORTH AVE, OCONOMOWOC, WI 53066-9315
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
1059-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
42704000
—
WI
Enumeration date
05/18/2007
Last updated
07/08/2007
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