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Individual
KENNETH JAMES SCHILLER
Active
Individual
KENNETH JAMES SCHILLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1350-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1350-026
OCCUPATIONAL THERAPIST LICENSE
WI
05
—
40572900
—
WI
Enumeration date
04/22/2008
Last updated
04/22/2008
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