Individual
KRISTIN CLEVENSTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2195 N SUMMIT VILLAGE WAY, OCONOMOWOC, WI 53066-8675
(262) 560-2400
Mailing address
13500 W STRATFORD DR, NEW BERLIN, WI 53151-6215
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40871100
—
WI
Enumeration date
03/18/2009
Last updated
10/24/2011
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