Kaczmarek, Dianna

Kaczmarek, Dianna is an individual health care provider with primary practice located at 9244 29Th Ave , Kenosha WI 53143-6602. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Kaczmarek, Dianna can be contacted via phone (262) 694-0080.

Contact Information

Primary practice address
9244 29Th Ave Kenosha WI 53143-6602
Phone: (262) 694-0080
Fax: (262) 942-7395
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2689-026 Wisconsin

Profile Details

NPI number 1609040476
LBN Legal business name Kaczmarek, Dianna
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 14th, 2008
Last updated Apr 14th, 2008 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1609040476 NPPES
Wisconsin MEDICAID 41811700

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