Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 225X00000X | Occupational Therapist | ||
Y | 225X00000X | Occupational Therapist | WI |
NPI | 1003492836 |
---|---|
Provider Name | Kaitlin Hohl |
First Address | Fitchburg, WI 53711-6498 |
Second Address | Fitchburg, WI 53711-6498 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/03/2021 |
Last Update Date | 22/03/2021 |