Provider Demographics
NPI:1245673987
Name:SOSEMAN, KATHLEEN MARIE (OTD OTR/L CHT)
Entity type:Individual
Prefix:DR
First Name:KATHLEEN
Middle Name:MARIE
Last Name:SOSEMAN
Suffix:
Gender:F
Credentials:OTD OTR/L CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:26821 19TH ST S
Mailing Address - Street 2:
Mailing Address - City:NEVADA
Mailing Address - State:IA
Mailing Address - Zip Code:50201-7584
Mailing Address - Country:US
Mailing Address - Phone:515-450-1374
Mailing Address - Fax:
Practice Address - Street 1:421 E MERLE HIBBS BLVD
Practice Address - Street 2:
Practice Address - City:MARSHALLTOWN
Practice Address - State:IA
Practice Address - Zip Code:50158-1992
Practice Address - Country:US
Practice Address - Phone:641-844-2294
Practice Address - Fax:641-844-2297
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-11
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA01570225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist