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Organization
KRISTEN K FREIBERG LLC
Active
Organization
KRISTEN K FREIBERG LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN K FREIBERG OTR/L (OWNER/OCCUPATIONAL THERAPIST)
(262) 893-8516
Entity
Organization
Contact information
Practice address
1002 W POTOMAC DR, OAK CREEK, WI 53154-3743
(262) 893-8516
Mailing address
1002 W POTOMAC DR, OAK CREEK, WI 53154-3743
(262) 893-8516
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056006028
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
399821400001
—
IL
Enumeration date
06/22/2009
Last updated
06/22/2009
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