Individual
KACY PUNTILLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, MS, OTR/L
Contact information
Practice address
6125 GREEN BAY RD STE 800, KENOSHA, WI 53142-2982
(262) 496-0289
Mailing address
6125 GREEN BAY RD STE 800, KENOSHA, WI 53142-2982
(262) 496-0289
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
0003513
CO
225XP0200X
Pediatric Occupational Therapist
056.010239
IL
225XP0200X
Pediatric Occupational Therapist
Primary
5729-26
WI
Other
Enumeration date
04/29/2013
Last updated
08/14/2025
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