KELLY BRIDGETTE SMALL

BARABOO, WI
NPI1649449588
Former NameKELLY BRIDGETTE LYNCH
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: TX  207218)
Enumeration Date2008-02-25
Last Update Date2008-02-25
Business Address
-- KELLY BRIDGETTE SMALL
819 EAST ST
BARABOO, WI 53913-2213
Phone number: 682-553-8393
Mailing Address
-- KELLY BRIDGETTE SMALL
819 EAST ST
BARABOO, WI 53913-2213
Phone number: 682-553-8393
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