Kelly Bridgette Small
Kelly Bridgette Small is an Occupational Therapy Assistant in Baraboo, Wisconsin. Practices as a sole proprietor. Licensed in Texas.
- Licensed in
- TX
- In the registry since
- 2008
Practice location Address checks out
819 E StBaraboo, WI 53913-2213
Phone: (682) 553-8393
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 207218 (TX) |
|---|
Record details
| NPI number | 1649449588 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 25, 2008 |
| Last updated in NPPES | February 25, 2008 |
| Mailing address | 819 East St, Baraboo, WI 53913-2213 |
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