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Individual

MRS. KARI ELIZABETH WIESE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
3540 E 46TH ST, DAVENPORT, IA 52807-3403
(563) 742-5900
(563) 742-5980
Mailing address
3540 E 46TH ST, DAVENPORT, IA 52807-3403
(563) 742-5900
(563) 742-5980

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
01529
IA
225X00000X
Occupational Therapist
056-006266
IL
225X00000X
Occupational Therapist
IL

Other

Enumeration date
03/08/2006
Last updated
03/31/2026
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