Individual
KATHLEEN A DITTMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
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
225X00000X
Occupational Therapist
Primary
661-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40541100
—
WI
Enumeration date
06/23/2008
Last updated
06/23/2008
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