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1467935379
KATHLEEN M SHANOVICH
FITCHBURG, WI
NPI
1467935379
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: WI 6358-26)
Enumeration Date
2018-09-07
Last Update Date
2018-09-07
Business Address
KATHLEEN M SHANOVICH OTR/L
2927 S FISH HATCHERY RD
FITCHBURG, WI 53711-6498
Phone number: 608-819-6394
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Mailing Address
KATHLEEN M SHANOVICH OTR/L
2927 S FISH HATCHERY RD
FITCHBURG, WI 53711-6498
Phone number: 608-819-6394
Copy
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