Kim Lee Hackett, COTA

NPI #1699178996 in Marshall, Wisconsin

Provider Information

NPI Number
1699178996
Entity Type
Individual
Name
Kim Lee Hackett, COTA
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapy Assistant
Credential
COTA
Enumeration Date
Sep 30, 2014
Last Updated
Sep 30, 2014

Practice Location

Address
425 FARNHAM ST
Address 2
APT. 6
ZIP Code
53559-9624
Phone
(608) 320-9203

Specialties & Taxonomy Codes

Specialty
Occupational Therapy Assistant

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