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Individual

KASEY FANCHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
1041 HILL ST, WISCONSIN RAPIDS, WI 54494-5221
(715) 424-8500
Mailing address
410 DEWEY ST, WISCONSIN RAPIDS, WI 54494-4715
(715) 570-7225

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5669-26
WI

Other

Enumeration date
03/17/2015
Last updated
02/02/2016
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