Kristen Thayer, COTA
NPI #1407282460 in South Milwaukee, Wisconsin
Provider Information
- NPI Number
- 1407282460
- Entity Type
- Individual
- Name
- Kristen Thayer, COTA
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Sep 23, 2013
- Last Updated
- Sep 23, 2013
Practice Location
- Address
- 3601 S CHICAGO AVE
- City
- South Milwaukee
- State
- Wisconsin
- ZIP Code
- 53172-3708
- Phone
- (414) 570-5425
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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