Individual
KELLY ELIZABETH KERSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
5790 S 27TH ST, MILWAUKEE, WI 53221-4129
(414) 817-3720
Mailing address
2739 S 74TH ST, WEST ALLIS, WI 53219-2802
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4914-27
WI
Other
Enumeration date
05/17/2013
Last updated
05/17/2013
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