Individual
LESLIE M KOENIG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2323 N CASALOMA DR, APPLETON, WI 54913-8284
(920) 730-8833
Mailing address
2323 N CASALOMA DR, APPLETON, WI 54913-8284
(920) 730-8833
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6182-26
WI
Other
Enumeration date
11/28/2017
Last updated
06/30/2021
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