Individual
KELLI A IRISH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
200 W ALONA LN, LANCASTER, WI 53813-2202
(608) 723-6357
Mailing address
200 W ALONA LN, LANCASTER, WI 53813-2202
(608) 723-6357
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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