Individual
MS. KAY FENICO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
205 PARKER ST, BOSCOBEL, WI 53805-1642
(608) 375-6311
Mailing address
424 E HENRY CLAY ST APT 3, WHITEFISH BAY, WI 53217-5564
(414) 763-1463
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4594-026
WI
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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