KELLY JO KETTERHAGEN

MENOMONEE FALLS, WI
NPI1043428287
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225XH1300X Occupational Therapist Human Factors
(Licence: WI  4355-026)
Enumeration Date2007-05-20
Last Update Date2007-07-08
Business Address
KELLY JO KETTERHAGEN MSOTR
N84W17049 MENOMONEE AVE
MENOMONEE FALLS, WI 53051-2701
Phone number: 262-255-7050
Mailing Address
KELLY JO KETTERHAGEN MSOTR
4685 AUTUMN TRL
RICHFIELD, WI 53076-9419
Phone number: