Individual
MRS. CONCHITA PAGELA KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2121 LAKE AVE, FORT WAYNE, IN 46805-5100
(260) 426-5431
Mailing address
1224 CLARION DR, FORT WAYNE, IN 46845-1302
(260) 637-8910
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31000764A
IN
Other
Enumeration date
08/04/2006
Last updated
07/08/2007
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