Individual
MS. KRISTA NICOLE CRONK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2448 S. 102ND STREET, STE 340, MILWAUKEE, WI 53227-2141
(800) 776-7016
Mailing address
908 LINCOLN AVE, AMERY, WI 54001
(715) 220-1931
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4939-27
WI
Other
Enumeration date
09/06/2012
Last updated
09/06/2012
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