Individual
KELLI COSSETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1650 TRI PARK WAY, SUITE A, APPLETON, WI 54914-1652
(920) 830-6697
(920) 830-6707
Mailing address
1650 TRI PARK WAY, SUITE A, APPLETON, WI 54914-1652
(920) 830-6697
(920) 830-6707
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
103091
MN
Other
Enumeration date
05/29/2009
Last updated
05/29/2009
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