Individual
JESSICA KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5024 GREEN BAY RD, KENOSHA, WI 53144-1702
(262) 925-0200
(262) 925-8846
Mailing address
1300 S GREEN BAY RD STE 205, MOUNT PLEASANT, WI 53406-4469
(262) 898-3930
(262) 898-3933
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
2641
WI
Other
Enumeration date
07/12/2018
Last updated
07/12/2018
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