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Individual

KIERSTEN SINRAM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1410 RAWSON AVE, SOUTH MILWAUKEE, WI 53172-1941
(414) 766-5265
Mailing address
6707 S PARKEDGE CIR, FRANKLIN, WI 53132-1283
(818) 525-8883

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
851726
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
851726
THE STATE OF WISCONSIN MEDICAL EXAMINING BOARD
WI
Enumeration date
11/29/2024
Last updated
11/29/2024
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