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Contact Information

ANN L KUTZ, OTR
1504 MADISON AVE
FORT ATKINSON, WI53538
 Phone: 920-563-9357
 Fax: 920-568-9357
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Hand

225XH1200X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for ANN L KUTZ · (Female)

NPI Number 1588770853
Status Active
Credentials OTR (Registered Occupational Therapist)
Entity Individual
Enumeration date 08/21/2006
Last updated 07/07/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 49-026
  • WI Medicaid 40540200
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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