Wisconsin Center for Myofascial Release, SC
Wisconsin Center for Myofascial Release, SC is an Occupational Therapist in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2007.
- Licensed in
- WI
- In the registry since
- 2007
Practice location Address checks out
4103 60th StKenosha, WI 53144-2509
Phone: (262) 652-1111
Fax: (262) 652-1124
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 3534-026 (WI) |
|---|
Record details
| NPI number | 1104042902 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Priscilla Horswell — Office Manager · (262) 652-1111 |
| NPI enumerated | April 18, 2007 |
| Last updated in NPPES | August 26, 2013 |
| Mailing address | 4103 60th St, Kenosha, WI 53144-2509 |
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