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1972620839
KELLY LYN WAALA
MILWAUKEE, WI
NPI
1972620839
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 3172-026)
Enumeration Date
2007-03-24
Last Update Date
2007-07-09
Business Address
Mrs. KELLY LYN WAALA OTR
111 W MICHIGAN ST
MILWAUKEE, WI 53203-2903
Phone number: 800-395-5000
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Mailing Address
Mrs. KELLY LYN WAALA OTR
1418 WALSH ACRES DR
WEST BEND, WI 53095-5406
Phone number: 262-306-1614
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