Individual
KATRINA AUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1109 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6105
(715) 717-4338
(715) 717-1878
Mailing address
1109 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6105
(715) 717-4338
(715) 717-1878
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4909-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1528504735
—
WI
05
—
1619415262
—
WI
Enumeration date
10/05/2017
Last updated
03/17/2018
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