Individual
KIMBERLY L. CRIDELICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
1290 N SUMMIT AVE, SUITE 102, OCONOMOWOC, WI 53066-4459
(262) 468-3480
(262) 468-3481
Mailing address
790 REMINGTON BLVD, BOLINGBROOK, IL 60440-4909
(630) 296-2223
(630) 759-9510
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
234-26
WI
225X00000X
Occupational Therapist
5333
AZ
225XH1200X
Hand Occupational Therapist
533
AZ
Other
Enumeration date
01/23/2008
Last updated
01/05/2017
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