Larsen Kountz, Lesley

Larsen Kountz, Lesley is an individual health care provider with primary practice located at 17280 W North Ave #104, Brookfield WI 53045-4366. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Larsen Kountz, Lesley can be contacted via phone (262) 780-0707.

Contact Information

Primary practice address
17280 W North Ave #104 Brookfield WI 53045-4366
Phone: (262) 780-0707
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 245 Wisconsin

Profile Details

NPI number 1609059583
LBN Legal business name Larsen Kountz, Lesley
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2007
Last updated Dec 13th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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