Individual
CASSAUNDRA KATHRYN LOEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6233 DURAND AVE STE 102-3, MOUNT PLEASANT, WI 53406-4961
(262) 497-7270
Mailing address
6233 DURAND AVE STE 102-3, MOUNT PLEASANT, WI 53406-4961
(262) 497-7270
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6542
WI
225XP0200X
Pediatric Occupational Therapist
6542-26
WI
Other
Enumeration date
12/09/2019
Last updated
12/09/2019
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