Individual
KATHERINE M DYER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2020 W WELLS ST, MILWAUKEE, WI 53233-2720
(414) 937-2049
Mailing address
2020 W WELLS ST, MILWAUKEE, WI 53233-2720
(414) 937-2049
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2310-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40817700
—
WI
Enumeration date
05/19/2008
Last updated
05/19/2008
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