Individual
MRS. MICHELE DENISE KISLEK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
169 NOTTINGHAM LN, WAYNESBORO, VA 22980-6544
(757) 239-0790
Mailing address
169 NOTTINGHAM LN, WAYNESBORO, VA 22980-6544
(757) 239-0790
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0119004863
VA
Other
Enumeration date
06/28/2019
Last updated
06/28/2019
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