Individual
MRS. BETH A. KISSNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6735 W BRADLEY RD, MILWAUKEE, WI 53223-3325
(414) 354-3300
(414) 354-7419
Mailing address
6735 W BRADLEY RD, MILWAUKEE, WI 53223-3325
(414) 354-3300
(414) 354-7419
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
874-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40586200
—
WI
Enumeration date
04/24/2008
Last updated
04/24/2008
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