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Individual

KATIE LEE ROLAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.T.R.

Contact information

Practice address
600 S WEBSTER AVE, GREEN BAY, WI 54301-3503
(920) 432-3213
(920) 432-0614
Mailing address
3052 MAPLE GRV, SUAMICO, WI 54173-8131
(608) 658-4573

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4618-026
WI

Other

Enumeration date
01/29/2009
Last updated
01/29/2009
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