Dianna Kaczmarek OTR

NPI 1609040476 - Occupational Therapist - 225X00000X

NPI Details
NPI 1609040476
Gender Female
Enumeration Date 04/14/2008
Last Updated 04/14/2008
Entity Type Individual
Active Over 8 years ago
Practice Location
9244 29TH AVE
KENOSHA WI, 53143-6602, US
Phone (262) 694-0080
Fax (262) 942-7395
Business Location
GREENDALE WI, 53129-1711, US
Phone (414) 421-2636
Taxonomy Code 225X00000X
License State Wisconsin
License Number 2689-026
Remove 1609040476 NPI Number

According to our database, Dianna Kaczmarek OTR NPI is 1609040476, taxonomy code is 225X00000X and license number is 2689-026, license state is located at Wisconsin. Dianna Kaczmarek OTR physically located at 9244 29th Ave, Kenosha WI, 53143-6602. NPI Number Dianna Kaczmarek OTR has the Individual type.

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1609040476 NPI number is provided on an as is basis without warranty of any kind. 1609040476 is maintained by the National Plan & Provider Enumeration System. The contents of Dianna Kaczmarek OTR are for informational purposes only.