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Individual

MICHELLE A KLINGLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OT

Contact information

Practice address
729 PARK ST, ANTIGO, WI 54409-2745
(715) 623-2356
Mailing address
2398 NORWAY POINT RD, PELICAN LAKE, WI 54463-9401

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3709 026
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40854600
WI
Enumeration date
06/03/2008
Last updated
06/03/2008
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