Individual
ELLEN FEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
7610 PERSHING BLVD, KENOSHA, WI 53142-4318
(262) 948-3600
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8542-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100283735
—
WI
Enumeration date
07/17/2024
Last updated
10/04/2024
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