KELLY HEFTER

MILWAUKEE, WI
NPI1124377833
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  4833-27)
Enumeration Date2012-09-10
Last Update Date2012-09-10
Business Address
-- KELLY HEFTER
2448 S 102ND ST SUITE 340
MILWAUKEE, WI 53227-2466
Phone number: 414-329-2500
Mailing Address
-- KELLY HEFTER
409 WILSON ST
PLYMOUTH, WI 53073-1053
Phone number:
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