Individual
KRISTIN HODKIEWICZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
223 W PARK ST, GILLETT, WI 54124-9414
(920) 855-2114
Mailing address
855 S MAIN ST, OCONTO FALLS, WI 54154-1241
(920) 846-3444
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3561-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
11014100
—
WI
05
—
11014110
—
WI
01
—
3561-26
LICENSE NUMBER
WI
01
—
390848401050
BLUE CROSS
WI
05
—
40902500
—
WI
Enumeration date
04/08/2008
Last updated
05/06/2026
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