Individual
KASEY-MARIE PIKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1828 N MAIN ST UNIT A, OSHKOSH, WI 54901-2322
(904) 923-6634
Mailing address
1828 N MAIN ST UNIT A, OSHKOSH, WI 54901-2322
(904) 923-6634
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119008400
VA
225X00000X
Occupational Therapist
OT20430
FL
225X00000X
Occupational Therapist
OTOOTLIC6916
MT
Other
Enumeration date
11/16/2019
Last updated
11/16/2019
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