Kennedy Lake
NPI #1679435408 in Mount Pleasant, Wisconsin
Provider Information
- NPI Number
- 1679435408
- Entity Type
- Individual
- Name
- Kennedy Lake
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- Dec 1, 2025
- Last Updated
- Dec 23, 2025
Practice Location
- Address
- 13250 WASHINGTON AVE
- City
- Mount Pleasant
- State
- Wisconsin
- ZIP Code
- 53177-1516
- Phone
- (262) 799-8330
Specialties & Taxonomy Codes
| Specialty |
|---|
| Occupational Therapist |
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