Most Relevant Information
Provider Data
| NPI Number: | 1003041013 |
| Provider Name: | KIM BIGARI KAVANAGH OTR |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 4730-026 |
Most Important Dates
| Enumeration Date: | 05/19/2009 |
| Last Updated: | 02/17/2015 |
Provider Practice Location
1300 EGG HARBOR RD STE 108
STURGEON BAY
WI
542351284
Practice Location Phone/Fax
| Phone: | 9207460410 |
| Fax: |
Provider Mailing Location
323 S 18TH AVE
STURGEON BAY
WI
542351401
Provider Mailing Phone/Fax
| Phone: | 9207435566 |
| Fax: |