Individual
KOURTNEY KAUFMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2195 N SUMMIT VILLAGE WAY, OCONOMOWOC, WI 53066-8675
(262) 567-4662
Mailing address
622 SMALL FARM RD, MUKWONAGO, WI 53149-1462
(414) 943-0433
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7116-27
WI
Other
Enumeration date
09/09/2024
Last updated
09/09/2024
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