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NPI Code Detail

MEDICARE: KATHY JO CURTIS-WADDELL OTR

MEDICARE:   KATHY JO CURTIS-WADDELL  OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist147-026WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1487721528
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHY JO CURTIS-WADDELL OTR
Provider Business Mailing Address
First Line : 302 PERIMETER ST
Second Line :
City : MOUNT HOREB
State : WI
Zip : 53572-2317
Country : US
Telephone Number : 608-437-3964
Fax Number :
Provider Business Practice Location Address
First Line : 1100 E VERONA AVE
Second Line :
City : VERONA
State : WI
Zip : 53593-8717
Country : US
Telephone Number : 608-845-6601
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2006
Last Update Date : 07/09/2007

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Directions to “ KATHY JO CURTIS-WADDELL OTR” Practice Location

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