Individual
KELSEY GABRIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2815 NEW PINERY RD, PORTAGE, WI 53901-9257
(608) 745-6290
(608) 745-6250
Mailing address
PO BOX 387, PORTAGE, WI 53901-0387
(608) 745-6290
(608) 745-6250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
08/06/2019
Last updated
08/06/2019
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