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Individual

MRS. MICHELLE KIEFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
9806 W LINCOLN AVE, WEST ALLIS, WI 53227-2234
(414) 543-5330
Mailing address
N25W27115 ORCHARD LN, PEWAUKEE, WI 53072-4952
(262) 347-5575

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5051-026
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100041504
WI
Enumeration date
10/23/2013
Last updated
03/17/2018
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