Individual
ASH-LEIGH MARIE KOWALCZYK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
307 SMITH ST, NEW LONDON, WI 54961-1410
(920) 982-5440
(920) 250-5727
Mailing address
307 SMITH ST, NEW LONDON, WI 54961-1410
(920) 982-5440
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5549-27
WI
Other
Enumeration date
12/04/2018
Last updated
12/04/2018
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