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Contact Information

KATIE M RADIG, MS/OTR/L
845 S MAIN ST
FOND DU LAC, WI54935-6174
 Phone: 920-252-5676
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

225XG0600X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KATIE M RADIG · (Female)

NPI Number 1306195334
Status Active
Credentials MS/OTR/L
Entity Individual
Enumeration date 09/06/2012
Last updated 11/20/2018 - About 8 years ago
Sole proprietor 1 Yes
Identifiers
  • WI License # 5220-26
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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