Individual
MRS. KATHLEEN MARY WING
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
135 CLEARVIEW PL, KALISPELL, MT 59901-6769
(406) 756-8106
Mailing address
135 CLEARVIEW PL, KALISPELL, MT 59901-6769
(406) 756-8106
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
233
MT
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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