IndividualActive
Kathryn Wiberg, COTA
NPI 1700453834 · Developmentally Disabled Services Day Training Agency · Milwaukee, WI
Provider details
- NPI number
- 1700453834
- Entity type
- Individual
- Primary specialty
- Developmentally Disabled Services Day Training AgencyAgencies
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- Yes
- License
- 5773-27 (WI)
Specialties & taxonomies
Agencies
Practice location
3015 S 45th St
Milwaukee, WI 53219-3415
Phone: (262) 909-5321
Approximate (ZIP-level) locationGet directions
Mailing address
3015 S 45th St
Milwaukee, WI 53219-3415
Registry dates
- Enumerated
- 2021-06-08
- Last updated
- 2026-04-07
- Certified
- 2026-04-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.