Individual
ANN L. KUTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1504 MADISON AVE, FORT ATKINSON, WI 53538
(920) 563-9357
(920) 568-9357
Mailing address
225 JOHNSON ST, CAMBRIDGE, WI 53523-9492
(608) 423-4610
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
49-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40540200
—
WI
Enumeration date
08/21/2006
Last updated
07/07/2010
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