Kennedy Lake
Kennedy Lake is an Occupational Therapist in Mount Pleasant, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2025.
- Licensed in
- WI
- In the registry since
- 2025
Practice location Address checks out
13250 Washington AveMount Pleasant, WI 53177-1516
Phone: (262) 799-8330
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 9045 (WI) |
|---|
Record details
| NPI number | 1679435408 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Not disclosed |
| Sole proprietor | No |
| NPI enumerated | December 1, 2025 |
| Last updated in NPPES | December 23, 2025 |
| Certification date | December 23, 2025 |
| Mailing address | Po Box 735044, Chicago, IL 60673-5044 |
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