Individual
DAVID J KRATZER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
316 N MILWAUKEE ST, 208, MILWAUKEE, WI 53202-5885
(414) 615-0665
(414) 615-0667
Mailing address
1185 SANDPIPER DR, OCONOMOWOC, WI 53066-2363
(262) 354-0515
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4191-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41063100
—
WI
Enumeration date
07/29/2005
Last updated
10/19/2015
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