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Individual

RUBIE KIRSTEN FIDLER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
500 E VETERANS ST, TOMAH, WI 54660-3105
(715) 424-4682
Mailing address
1711 BASSETT PL, WISCONSIN RAPIDS, WI 54494-5479
(715) 572-8250

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5959-26
WI

Other

Enumeration date
11/22/2016
Last updated
07/26/2023
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