Individual
ROSEMARY KEPHART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2650 65TH AVE, OSCEOLA, WI 54020-4370
(715) 294-1116
(715) 294-1534
Mailing address
2650 65TH AVE, OSCEOLA, WI 54020-4370
(715) 294-1116
(715) 294-1534
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1941
WI
Other
Enumeration date
11/12/2012
Last updated
11/12/2012
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