Individual
LUCIA GRACE KISSINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
140 E RAWSON AVE STE 317, OAK CREEK, WI 53154-1525
(262) 287-0090
Mailing address
4434 N WILSON DR APT 3, SHOREWOOD, WI 53211-1336
(414) 659-3064
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
7018-26
WI
Other
Enumeration date
07/13/2021
Last updated
07/13/2021
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