MRS. Kim Bigari Kavanagh I, OTR

NPI #1003041013 in Sturgeon Bay, Wisconsin

Provider Information

NPI Number: 1003041013
Entity Type: Individual
Name: MRS. Kim Bigari Kavanagh I, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: May 19, 2009
Last Updated: Feb 17, 2015

Practice Location

Address: 1300 EGG HARBOR RD STE 108
City: Sturgeon Bay
State: Wisconsin
ZIP Code: 54235-1284
Phone: (920) 746-0410

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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