Individual
KATHY SIDERIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
4500 W LOOMIS RD, GREENFIELD, WI 53220-4819
(414) 325-5375
(414) 325-5475
Mailing address
4500 W LOOMIS RD, GREENFIELD, WI 53220-4819
(414) 325-5375
(414) 325-5475
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4214-26
WI
Other
Enumeration date
06/05/2015
Last updated
06/05/2015
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