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Contact Information

KIM M FLECK, OTR
845 SOUTH MAIN STREET
SUITE 120
FOND DU LAC, WI54935
 Phone: 920-322-0447
 Fax: 920-322-1362
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for KIM M FLECK · (Female)

NPI Number 1346384567
Status Active
Credentials OTR (Registered Occupational Therapist)
Entity Individual
Enumeration date 02/19/2007
Last updated 02/23/2010 - About 16 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 1471-026
  • WI License # 1471-028
  • WI Medicaid 40727200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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