Individual
BRITTANY KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CTRS
Contact information
Practice address
500 E VETERANS ST # 11K22, TOMAH, WI 54660-3105
(608) 372-1652
Mailing address
500 E VETERANS ST # 11K22, TOMAH, WI 54660-3105
(608) 372-1652
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
58524
WI
Other
Enumeration date
11/26/2018
Last updated
11/28/2018
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