Search › Wisconsin › 225X00000X
Patricia Van Den Kieboom, OTR
NPI 1417934308 · on the registry since 2005 · sole proprietor
Practice
- Address
- 6700 N. Port Washington Rd.
C/O St. Francis Children'S Center
Glendale, WI 53217 - Phone
- (414) 351-8850
- Fax
- (414) 351-8846
- Clinicians at this address
- 17
Registry record
- Primary taxonomy
- 225X00000X
225X00000X
- Licence states on file
- WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2010-10-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin