Organization
WILD & FREE OT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VANESSA KRUGER OTR/L (OCCUPATIONAL THERAPIST)
(646) 420-0177
Entity
Organization
Contact information
Practice address
1908 PEMBROKE LN, MCKINNEY, TX 75072-4793
(646) 420-0177
Mailing address
PO BOX 1826, MCKINNEY, TX 75070-8160
(646) 420-0177
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
02/27/2023
Last updated
02/27/2023
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