Individual
KELLI STANDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1350 S MADISON ST, LANCASTER, WI 53813-2167
(608) 723-4143
Mailing address
329 HARRIS ST, MINERAL POINT, WI 53565-1012
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6994-26
WI
Other
Enumeration date
06/08/2021
Last updated
06/08/2021
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