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Search › Wisconsin › Occupational Therapist

Kennedy Lake

NPI 1679435408 · on the registry since 2025

Practice

Address
13250 Washington Ave
Mount Pleasant, WI 53177
Phone
(262) 799-8330
Organisation at this address
Aurora Pharmacy Inc.
Aurora Medical Group, Inc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
68

Registry record

Primary taxonomy
Occupational Therapist
225X00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-12-23

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