Individual
ALEXIS GRACE KUECHENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
325 E FLORIDA AVE, APPLETON, WI 54911-1325
(920) 731-7310
Mailing address
W5844 CHURCH RD, FOND DU LAC, WI 54937-8602
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7222-27
WI
Other
Enumeration date
06/04/2025
Last updated
06/04/2025
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