Individual
KALENA HENSEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4502 MILWAUKEE ST, MADISON, WI 53714-2133
(608) 249-2137
Mailing address
1902 GULSETH STREET, MADISON, WI 53704
(608) 444-1938
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4516-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4516-026
O.T TEMP LICENSE
WI
Enumeration date
03/28/2007
Last updated
11/19/2013
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