Individual
MARCI LEIGH KUSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
200 S 9TH ST, DE PERE, WI 54115-1393
(920) 338-4146
Mailing address
5883 TIMBER HAVEN DR, LITTLE SUAMICO, WI 54141-8660
(920) 826-6029
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1115-27
WI
Other
Enumeration date
09/17/2010
Last updated
09/24/2010
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