Individual
KELLY KREGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
4111 W MITCHELL ST, MILWAUKEE, WI 53215-1748
(414) 643-3860
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8701-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100294156
—
WI
Enumeration date
10/23/2024
Last updated
02/25/2025
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