Individual
MS. KRISTY GAYE BLOCHWITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
7540 N 19H AVE, STE 200, PHOENIX, AZ 85021-9958
(888) 873-4221
Mailing address
221 W MOORE ST, BERLIN, WI 54923-1551
(920) 379-7413
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
267
WI
Other
Enumeration date
08/14/2007
Last updated
08/14/2007
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