Individual
MR. KEVIN WILLIAM WELP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
11345 INTERLACHEN RD, CHISAGO CITY, MN 55013-9552
(612) 398-4173
Mailing address
11345 INTERLACHEN RD, CHISAGO CITY, MN 55013-9552
(612) 398-4173
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
201619
MN
224Z00000X
Occupational Therapy Assistant
211066
TX
Other
Enumeration date
08/04/2010
Last updated
10/17/2023
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