BRIAN KOTHBAUER

STOUGHTON, WI
NPI1982813762
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy235Z00000X Speech-Language Pathologist,
(Licence: WI  2799-154)
Enumeration Date2007-05-21
Last Update Date2007-07-09
Business Address
-- BRIAN KOTHBAUER
814 JACKSON ST
STOUGHTON, WI 53589-1520
Phone number: 608-873-6448
Mailing Address
-- BRIAN KOTHBAUER
323 BERGAMONT BLVD
OREGON, WI 53575-3849
Phone number:
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