Individual
JO ELLEN KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
N8568 WOODLAND DR, SEYMOUR, WI 54165-8876
(920) 833-1823
Mailing address
N8568 WOODLAND DR, SEYMOUR, WI 54165-8876
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4582-026
WI
Other
Enumeration date
05/19/2008
Last updated
05/19/2008
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