Individual
MR. JEREL MCKAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
100 CORRINA BLVD, APT 316, WAUKESHA, WI 53186-3888
(920) 674-3170
Mailing address
100 CORRINA BLVD, APT 316, WAUKESHA, WI 53186-3888
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5750
WI
Other
Enumeration date
12/03/2015
Last updated
12/03/2015
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