Individual
MRS. KRISTINA MARIE BLEEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5071 S LAKE DR, CUDAHY, WI 53110-2033
(414) 744-7630
(414) 744-7655
Mailing address
6715 W ENGLISH MEADOWS DR, APARTMENT B305, GREENFIELD, WI 53220-3991
(414) 282-4929
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3183
WI
Other
Enumeration date
10/24/2006
Last updated
07/08/2007
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