Individual
MRS. KAITLYN JEAN OWENS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
130 N STATE ST, CHILTON, WI 53014-1354
(920) 418-2653
Mailing address
130 N STATE ST, CHILTON, WI 53014-1354
(920) 418-2653
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
683826
WI
Other
Enumeration date
04/28/2021
Last updated
04/28/2021
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