Organization
QUALITY THERAPY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER LYNN KITELINGER COTA (OWNER)
(920) 462-4583
Entity
Organization
Contact information
Practice address
311 REAUME AVE, KAUKAUNA, WI 54130-2430
(920) 462-4583
Mailing address
311 REAUME AVE, KAUKAUNA, WI 54130-2430
(920) 462-4583
Taxonomy
Speciality
Code
Description
License number
State
320700000X
Physical Disabilities Residential Treatment Facility
Primary
Q004099
WI
Other
Enumeration date
09/22/2008
Last updated
09/22/2008
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