Individual
KAYLEE ROSE WICKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2995 SUB ZERO PKWY, FITCHBURG, WI 53719-8801
(608) 819-6394
Mailing address
3836 MAPLE GROVE DR APT 104, MADISON, WI 53719-1896
(608) 588-5567
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7273-26
WI
Other
Enumeration date
04/28/2022
Last updated
12/09/2024
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