Individual
KATHRYN ANN TOLLAKSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2999 N MAYFAIR RD STE 300, WAUWATOSA, WI 53222-4306
(414) 479-3737
Mailing address
3309 S DELAWARE AVE, MILWAUKEE, WI 53207-3703
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
WI
Other
Enumeration date
07/18/2018
Last updated
07/18/2018
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