Most Relevant Information
Provider Data
NPI Number: | 1003513425 |
Provider Name: | RICHA KAMBLE |
Entity Type: | Individual |
Taxonomy Code: | 225X00000X |
Specialty: | Occupational Therapist |
License Number: | 6667-26 |
Most Important Dates
Enumeration Date: | 02/15/2023 |
Last Updated: | 06/08/2023 |
Provider Practice Location
5060 GREEN BAY RD
KENOSHA
WI
531441790
Practice Location Phone/Fax
Phone: | 2628250912 |
Fax: |
Provider Mailing Location
8560 90TH AVE APT 204
PLEASANT PRAIRIE
WI
531587320
Provider Mailing Phone/Fax
Phone: | 2055687248 |
Fax: |