Individual
LINDSEY KOCINA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
509 W MITCHEL ST, ELLSWORTH, WI 54011-9048
(715) 220-1655
Mailing address
509 MITCHEL STREET, ELLSWORTH, WI 54011
(715) 220-1655
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4699-27
WI
Other
Enumeration date
08/10/2009
Last updated
12/09/2010
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