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1730310079
MICHELLE LEE KOEHLER
GREEN BAY, WI
NPI
1730310079
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Former Name
MICHELLE LEE WOLFGRAM
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 4728-026)
Enumeration Date
2009-08-04
Last Update Date
2023-08-29
Business Address
MICHELLE LEE KOEHLER OTR
744 S WEBSTER AVE
GREEN BAY, WI 54301-3505
Phone number: 920-433-7822
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Mailing Address
MICHELLE LEE KOEHLER OTR
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7221
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