Katie Marie Radig
Occupational Therapist - Gerontology
845 S Main St
Fond du Lac
, Wisconsin 54935-6174
Katie Marie Radig
Occupational Therapist - Gerontology
845 S Main St
Fond du Lac
, Wisconsin 54935-6174
(920) 428-5805
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About
Features
Specialties
- Occupational Therapist - Gerontology
Languages spoken
- English
Location
First Address
- Katie Marie Radig
- 1045 Melissa St
- Menasha, WI
- Zip : 54952-2014
- Phone : (920) 428-5805
Second Address
- Katie Marie Radig
- 845 S Main St
- Fond Du Lac, WI
- Zip : 54935-6174
- Phone : (920) 252-5676
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XG0600X | Occupational Therapist - Gerontology | 5220-26 | WI |
National Provider Identifier
| NPI | 1306195334 |
|---|---|
| Provider Name | Katie Marie Radig |
| First Address | Menasha, WI 54952-2014 |
| Second Address | Fond Du Lac, WI 54935-6174 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/09/2012 |
| Last Update Date | 20/11/2018 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.