Individual ProviderKatie A. WodziakOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address9401 Old Sauk Rd, Middleton, WI 53562-4409(608) 203-8102PECOS EnrollmentBased on the most recent information from CMS, provider Katie A. Wodziak does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1013257997Provider TypeIndividualFull NameWodziak, Katie A.CredentialOTR/LGenderFemaleSole ProprietorNoEnumeration Date2/28/2013Last Updated2/28/2013Contact InformationPractice LocationPractice Address9401 Old Sauk Rd, Middleton, WI 53562-4409Phone(608) 203-8102FaxUnlisted FaxMailing LocationMailing Address9401 Old Sauk Rd, Middleton, WI 53562-4409Phone(608) 203-8102FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225X00000XPrimaryDescriptionOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense5311-26Wisconsin