Individual
LORI ANN KING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
245 SYCAMORE ST, SAUK CITY, WI 53583-1013
(608) 643-3383
Mailing address
W10560 TIPPERARY RD, POYNETTE, WI 53955-9419
(608) 635-3820
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
688-027
WI
Other
Enumeration date
01/12/2007
Last updated
07/08/2007
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