Individual
DIANE MARIE KADOW
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR, CHT
Contact information
Practice address
1640 E SUMNER ST, HARTFORD, WI 53027-2684
(262) 670-4300
Mailing address
1640 E SUMNER ST, HARTFORD, WI 53027-2684
(262) 670-4300
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2969026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40855100
—
WI
Enumeration date
08/28/2007
Last updated
12/08/2021
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