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Individual

KATE SUZANNE FAIRCHILD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTD, OTR/L

Contact information

Practice address
2705 ENLOE ST, HUDSON, WI 54016-8173
(715) 690-2600
Mailing address
2705 ENLOE ST, HUDSON, WI 54016-8173

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Enumeration date
05/12/2022
Last updated
05/12/2022
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