Individual
CATERINA KUKULKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
(920) 456-9000
Mailing address
855 N WESTHAVEN DR, OSHKOSH, WI 54904-7668
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
318319
WI
Other
Enumeration date
08/20/2021
Last updated
08/20/2021
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