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Individual

KRISTIN HODKIEWICZ

Active
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Individual

KRISTIN HODKIEWICZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3561-26
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11014100
—
WI
05
—
11014110
—
WI
01
—
3561-26
LICENSE NUMBER
WI
01
—
390848401050
BLUE CROSS
WI
05
—
40902500
—
WI
Enumeration date
04/08/2008
Last updated
08/17/2026
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