Individual
KASSI EVELYN OLERUD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS/OTR
Contact information
Practice address
E7404A COUNTY ROAD BB, VIROQUA, WI 54665-7502
(608) 637-5422
Mailing address
707 PINE PLACE, WESTBY, WI 54667
(608) 790-6640
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5131-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1265798995
—
WI
05
—
22
—
WI
Enumeration date
04/06/2012
Last updated
03/17/2018
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