Individual
KATHIE VENABLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 842-8548
(715) 842-8467
Mailing address
1100 LAKE VIEW DR, WAUSAU, WI 54403-6785
(715) 842-8548
(715) 842-8467
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
466127
WI
Other
Enumeration date
05/15/2009
Last updated
05/15/2009
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