Individual
BAYLEY JO KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W175N11117 STONEWOOD DR, GERMANTOWN, WI 53022-6508
(262) 293-3951
Mailing address
W175N11117 STONEWOOD DR, GERMANTOWN, WI 53022-6508
(262) 293-3951
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5811-27
WI
Other
Enumeration date
09/28/2021
Last updated
09/28/2021
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