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1679844005
KATHRYN LYNN MALICKI
KENOSHA, WI
NPI
1679844005
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: WI 5122-26)
Enumeration Date
2012-01-17
Last Update Date
2012-01-17
Business Address
-- KATHRYN LYNN MALICKI OTR
5219 88TH AVE
KENOSHA, WI 53144-7468
Phone number: 262-653-0850
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Mailing Address
-- KATHRYN LYNN MALICKI OTR
1114 RIVERVIEW CT
GRAFTON, WI 53024-1609
Phone number:
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