Individual
MRS. KRISTINE ANN BEMBENEK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
600 HIGHLAND AVE, COMPLIANCE MAIL CODE 2433, MADISON, WI 53792-0001
(608) 662-0817
Mailing address
37 UNIVERSITY HOUSES APT B, MADISON, WI 53705-1822
(608) 236-0594
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4236-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4236-026
OCCUPATIONAL THERAPIST
WI
Enumeration date
10/02/2007
Last updated
01/03/2008
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