Individual provider · Type 1 NPI

Kim Bigari Kavanagh I, OTR

Occupational Therapist · Sturgeon Bay, WI

NPI number 1003041013 Active

Practice location

1300 Egg Harbor Rd Ste 108
Sturgeon Bay, WI 54235-1284

Mailing address

323 S 18th Ave
Sturgeon Bay, WI 54235-1401

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X4730-026 (WI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1003041013

Kim Bigari Kavanagh I, OTR's National Provider Identifier is 1003041013, issued on May 19, 2009. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Sturgeon Bay, WI. The record was last updated on Feb 17, 2015.