Individual
NATHAN JAMES CROATT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR/L
Contact information
Practice address
5219 88TH AVE, KENOSHA, WI 53144-7468
(262) 653-0850
Mailing address
2440 S KINNICKINNIC AVE APT 311, MILWAUKEE, WI 53207-1693
(507) 226-5084
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
26-6587
WI
Other
Enumeration date
09/03/2019
Last updated
09/03/2019
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