Individual
ELIZABETH KATHAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1014 MONROE ST, ONALASKA, WI 54650-2723
(507) 429-6413
Mailing address
1014 MONROE ST, ONALASKA, WI 54650-2723
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5313
WI
Other
Enumeration date
10/04/2016
Last updated
10/04/2016
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