Lesley Larsen Kountz, COTA
NPI #1609059583 in Brookfield, Wisconsin
Provider Information
- NPI Number
- 1609059583
- Entity Type
- Individual
- Name
- Lesley Larsen Kountz, COTA
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapy Assistant
- Credential
- COTA
- Enumeration Date
- Dec 13, 2007
- Last Updated
- Dec 13, 2007
Practice Location
- Address
- 17280 W NORTH AVE
- Address 2
- #104
- City
- Brookfield
- State
- Wisconsin
- ZIP Code
- 53045-4366
- Phone
- (262) 780-0707
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapy Assistant |
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