Individual
KELLI WORTHING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1109 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6105
(715) 717-5363
Mailing address
900 W CLAIREMONT AVE, EAU CLAIRE, WI 54701-6122
(715) 717-5363
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4138-26
WI
Other
Enumeration date
04/26/2017
Last updated
12/30/2021
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