Individual
KATIE M CUNNINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1635 MAPLE LN, ASHLAND, WI 54806-3610
(715) 685-5400
(715) 685-5102
Mailing address
1635 MAPLE LN, ASHLAND, WI 54806-3610
(715) 685-5400
(715) 685-5102
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5293-27
WI
Other
Enumeration date
01/11/2017
Last updated
01/11/2017
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