Individual
GRACE KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
13250 WASHINGTON AVE, MOUNT PLEASANT, WI 53177-1516
(262) 799-8330
Mailing address
10400 75TH ST, KENOSHA, WI 53142-7884
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16334
WI
Other
Enumeration date
06/19/2023
Last updated
10/08/2024
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