Individual
MRS. LINDA JEAN KAUFFELD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
W9168 MIDDLE RD, WATERTOWN, WI 53098-4143
(920) 261-3267
Mailing address
W9168 MIDDLE RD, WATERTOWN, WI 53098-4143
(920) 261-3267
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
165-027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40683700
—
WI
Enumeration date
05/06/2008
Last updated
05/06/2008
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