Individual
KELLY ROSE BARRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
915 SUMMIT AVE, OCONOMOWOC, WI 53066-3921
(262) 290-1200
Mailing address
915 SUMMIT AVE, OCONOMOWOC, WI 53066-3921
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
865726
WI
Other
Enumeration date
05/19/2026
Last updated
05/19/2026
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