Individual
ANNE M KUZMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
310 W MAIN ST, SPARTA, WI 54656
(608) 269-1770
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
103570
MN
225X00000X
Occupational Therapist
Primary
4807
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
ENROLLED
—
MN
Enumeration date
02/21/2008
Last updated
10/15/2020
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