Individual
KATHRYN ANN BERAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
750 E LOUISIANA ST, SAINT CROIX FALLS, WI 54024-9501
(715) 483-2713
(715) 483-5113
Mailing address
750 E LOUISIANA ST, SAINT CROIX FALLS, WI 54024-9501
(715) 483-2713
(715) 483-5113
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2709-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40794500
—
WI
Enumeration date
09/04/2008
Last updated
09/04/2008
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