Individual
PATRICIA A KIRLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
905 E GENEVA ST, DELAVAN, WI 53115-1922
(262) 728-1442
(262) 727-6693
Mailing address
121 HYDE PARK AVE, WAUKESHA, WI 53188-3501
(262) 521-9346
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3841-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40868200
—
WI
Enumeration date
05/03/2007
Last updated
07/08/2007
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