Individual
MRS. KATHERINE M ZUKOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
12500 AURORA DR, PLEASANT PRAIRIE, WI 53158-1227
(262) 857-5000
(262) 857-5001
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 857-5000
(262) 857-5001
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4819
WI
225XH1200X
Hand Occupational Therapist
056006836
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100013093
—
WI
Enumeration date
01/30/2007
Last updated
12/27/2023
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