Katina Hodgson, COTA
Individual provider Active NPI Occupational Therapy Assistant · Cornell, WI
NPI 1295037018 · NPPES record last updated Nov 30, 2010
Key facts
- NPI
- 1295037018
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 4795-027 (WI)
- Practice address
- 320 N 7TH St
Cornell, WI 54732-8120 - Phone
- (715) 239-0440
- NPI assigned
- Nov 30, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4795-027 | WI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 4795-027 | WI | Yes |
Addresses
Primary practice location
320 N 7TH St
Cornell, WI 54732-8120
Mailing address
320 N 7TH St
Cornell, WI 54732-8120
Phone (715) 239-0440
Other providers in Cornell, WI
- FMG North 7TH Street Wisconsin LLC
- Kathryn Franzen
- Natalie Helland
- Deborah Lee Hickethier
- Kendra Hintz
- Kerry L Kowalski
- Lakeland Physical Therapy L.L.C.
- James Ward Lane
- Ashley N Liddell
- Angela Kay Lueck
All providers in Cornell, WI · Occupational Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 30, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.