Individual
JESSICA KELM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
422 3RD ST W, ASHLAND, WI 54806-1553
(715) 372-5001
Mailing address
7665 US HIGHWAY 2, IRON RIVER, WI 54847-4690
(715) 372-5001
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5229-27
WI
Other
Enumeration date
12/19/2016
Last updated
12/19/2016
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