Individual
KRISTY A KRUGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31004755A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000702810
BLUE CROSS BLUE SHIELD
IN
05
—
200976770
—
IN
Enumeration date
02/03/2010
Last updated
07/02/2014
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