Individual
KAYLEE SIEWERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1405 MILL ST, NEW LONDON, WI 54961-2155
(920) 279-3043
Mailing address
N5670 STATE HIGHWAY 76, SHIOCTON, WI 54170-8613
(920) 279-3043
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8291
WI
225X00000X
Occupational Therapist
—
WI
Other
Enumeration date
07/06/2023
Last updated
08/24/2023
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