Individual
KRISTINA MARIE SCHMELING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3027
(920) 887-6682
Mailing address
707 S UNIVERSITY AVE, BEAVER DAM, WI 53916-3027
(920) 887-6682
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5135-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
291459
NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY
WI
01
—
5135-26
STATE OF WISCONSIN LICENSE NUMBER
WI
Enumeration date
05/03/2013
Last updated
05/03/2013
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