Individual
MR. THOMAS A KERSTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
317 KNUTSON DR, MADISON, WI 53704-1133
(608) 301-9393
Mailing address
5506 FORGE DR, MADISON, WI 53716-2454
(608) 301-9393
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1513-027
WI
Other
Enumeration date
11/27/2006
Last updated
07/08/2007
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