Individual
STEVE KEGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
1436 S LINCOLN ST, SHAWNO, WI 54166
(715) 526-6111
(715) 524-5708
Mailing address
1436 S LINCOLN ST, SHAWNO, WI 54166
(715) 526-6111
(715) 524-5708
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5386-27
WI
Other
Enumeration date
09/03/2017
Last updated
03/17/2018
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