Individual
MS. JO ELLEN KESL-DEWEES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T./L
Contact information
Practice address
4537 STEIN AVE, MADISON, WI 53714-1731
(608) 712-5485
Mailing address
4537 STEIN AVE, MADISON, WI 53714-1731
(608) 712-5485
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056.004142
IL
225X00000X
Occupational Therapist
Primary
4140-26
WI
Other
Enumeration date
10/29/2012
Last updated
10/29/2012
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