Individual
MRS. KRISTIN MARIE DELFORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3137 RIDGEVIEW TER, GREEN BAY, WI 54301-1516
(763) 689-5385
Mailing address
3137 RIDGEVIEW TER, GREEN BAY, WI 54301-1516
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2397-026
WI
Other
Enumeration date
07/30/2009
Last updated
01/09/2015
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