Darlene Kay Kleinschmidt, COTA

Individual provider Active NPI Occupational Therapy Assistant · Cumberland, WI

NPI 1811257892 · NPPES record last updated May 23, 2012

Key facts

NPI
1811257892
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
1986-27 (WI)
Practice address
1110 7TH Ave
Cumberland, WI 54829-9138
Phone
(715) 822-6167
NPI assigned
May 23, 2012
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

LicenseStateTypeSpecialty
1986-27WIMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 1986-27 WI Yes

Addresses

Primary practice location

1110 7TH Ave
Cumberland, WI 54829-9138

Mailing address

1110 7TH Ave
Cumberland, WI 54829-9138
Phone (715) 822-6167

Other providers in Cumberland, WI

All providers in Cumberland, WI · Occupational Therapy Assistant in Wisconsin

Sources for this page

Verify at the official NPI Registry.