KATIE MARIE RADIG

FOND DU LAC, WI
NPI1306195334
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XG0600X Occupational Therapist, Gerontology
(Licence: WI  5220-26)
Enumeration Date2012-09-06
Last Update Date2018-11-20
Business Address
KATIE MARIE RADIG MS/OTR/L
845 S MAIN ST
FOND DU LAC, WI 54935-6174
Phone number: 920-252-5676
Mailing Address
KATIE MARIE RADIG MS/OTR/L
1045 MELISSA ST
MENASHA, WI 54952-2014
Phone number: 920-428-5805