KACY PUNTILLO

PLEASANT PRAIRIE, WI
NPI1396189700
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225XP0200X Occupational Therapist, Pediatrics
(Licence: IL  056.010239)
Additional Taxonomies225XP0200X Occupational Therapist, Pediatrics
(Licence: WI  5729-26)
225XP0200X Occupational Therapist, Pediatrics
(Licence: CO  0003513)
Enumeration Date2013-04-29
Last Update Date2020-01-15
Business Address
KACY PUNTILLO OTD, MS, OTR
8715 2ND AVE
PLEASANT PRAIRIE, WI 53158-4713
Phone number: 262-496-0289
Mailing Address
KACY PUNTILLO OTD, MS, OTR
8715 2ND AVE
PLEASANT PRAIRIE, WI 53158-4713
Phone number: 262-496-0289