Individual
CARMEN LYNN KUTSCH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
2448 DOVER CIR, RACINE, WI 53406-1419
(262) 884-4617
Mailing address
2448 DOVER CIR, RACINE, WI 53406-1419
(262) 884-4617
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056002483
IL
Other
Enumeration date
04/14/2007
Last updated
07/08/2007
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