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Individual

MISS DEVONA MARIE KLINGBEIL

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
5000 W NATIONAL AVE, MILWAUKEE, WI 53295-0001
(414) 384-2000
Mailing address
105 S HIGH AVE, JEFFERSON, WI 53549-1406
(920) 674-8846

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1223-027
WI

Other

Enumeration date
06/03/2006
Last updated
07/08/2007
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