Individual
KRISTIN J LUEKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 CHURCHILL ST, WAUPACA, WI 54981-2027
(715) 258-8131
(715) 258-0179
Mailing address
1401 CHURCHILL ST, WAUPACA, WI 54981-2027
(715) 258-8131
(715) 258-0179
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4963
WI
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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