Individual
KATHLEEN SUZANNE WILKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
N3132 FIANN ST, MARKESAN, WI 53946-7952
(920) 394-2500
Mailing address
N3132 FIANN ST, MARKESAN, WI 53946-7952
(920) 394-2500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4184-026
WI
Other
Enumeration date
09/30/2008
Last updated
09/30/2008
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