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1619526399
KELLY SALAS
MADISON, WI
NPI
1619526399
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: WI 5650-27)
Enumeration Date
2019-09-05
Last Update Date
2019-09-05
Business Address
KELLY SALAS COTA/L
701 DEMING WAY STE 110
MADISON, WI 53717-2916
Phone number: 608-819-6394
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Mailing Address
KELLY SALAS COTA/L
902 W BADGER RD APT 8
MADISON, WI 53713-2448
Phone number: 715-220-2670
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