Kristen Lanae Wichman, OTR

NPI #1174790810 in Lake Mills, Wisconsin

Provider Information

NPI Number: 1174790810
Entity Type: Individual
Name: Kristen Lanae Wichman, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: May 12, 2008
Last Updated: May 12, 2008

Practice Location

Address: 200 E TYRANENA PARK RD
City: Lake Mills
State: Wisconsin
ZIP Code: 53551-9678
Phone: (920) 648-8170

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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