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Individual

MRS. ROSE A KUSKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
W173N10915 BERNIES WAY, GERMANTOWN, WI 53022-4043
(262) 509-3300
(262) 509-3338
Mailing address
W173N10915 BERNIES WAY, GERMANTOWN, WI 53022-4043
(262) 509-3300
(262) 509-3338

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1197-027
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40831500
WI
Enumeration date
06/23/2008
Last updated
06/23/2008
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