Individual
KELLY MARIE KISLOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTRL
Contact information
Practice address
8626 WICKER AVE STE C, SAINT JOHN, IN 46373-9053
(219) 440-7930
Mailing address
812 JAMES CT, CROWN POINT, IN 46307-6609
(219) 789-3925
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
07/30/2020
Last updated
07/30/2020
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