Individual
KELLY TITEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
700 S FREMONT ST, PRAIRIE DU CHIEN, WI 53821-2331
(608) 326-8471
Mailing address
11054 SPOOK CAVE RD, MC GREGOR, IA 52157-8664
(563) 880-8177
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
087443
IA
224Z00000X
Occupational Therapy Assistant
Primary
5395
WI
Other
Enumeration date
11/27/2017
Last updated
01/23/2019
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