Individual
KIM A MERTES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1200 W RIVER RD, #26, SPARTA, WI 54656-2286
(608) 269-1655
Mailing address
1200 W RIVER RD, #26, SPARTA, WI 54656-2286
(608) 269-1655
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3639-026
WI
Other
Enumeration date
05/01/2008
Last updated
05/01/2008
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