Individual
CHRISTINE C KEARNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
600 HIGHLAND AVE, UNIVERSITY OF WI HOSPITAL & CLINICS, MADISON, WI 53792-9452
(608) 263-8060
Mailing address
W3130 COUNTY ROAD O, MONTELLO, WI 53949-8816
(608) 297-9374
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4695-27
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1851614481
—
WI
Enumeration date
03/10/2010
Last updated
04/03/2013
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