Individual
KATHRYN BRODIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1445 N 4TH ST, NEW RICHMOND, WI 54017-1063
(715) 246-8297
Mailing address
1822 143RD ST, NEW RICHMOND, WI 54017-7227
(715) 338-2389
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5407-27
WI
Other
Enumeration date
08/17/2017
Last updated
08/17/2017
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