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Individual

KAY CONZEMIUS

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
2045 32ND ST S, LA CROSSE, WI 54601-7026
(608) 788-7118
(608) 787-6171
Mailing address
2045 32ND ST S, LA CROSSE, WI 54601-7026
(608) 788-7118
(608) 787-6171

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1261-026
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40672600
WI
01
45F72BA
BC/BS MN#
MN
Enumeration date
03/28/2006
Last updated
07/08/2007
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