Most Relevant Information
Provider Data
| NPI Number: | 1003203399 |
| Provider Name: | KATIE KAREN BETRY MOT, OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 5646-26 |
Most Important Dates
| Enumeration Date: | 04/24/2015 |
| Last Updated: | 04/24/2015 |
Provider Practice Location
2927 S FISH HATCHERY RD
FITCHBURG
WI
537116498
Practice Location Phone/Fax
| Phone: | 6088196394 |
| Fax: |
Provider Mailing Location
2927 S. FISH HATCHERY RD
FITCHBURG
WI
53711
Provider Mailing Phone/Fax
| Phone: | 6088196394 |
| Fax: |