Individual
MS. PAULA JANE KRYSTOWIAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
3939 S 92ND ST, GREENFIELD, WI 53228-1455
(414) 546-7340
(414) 546-1825
Mailing address
2747 S LINEBARGER TER, MILWAUKEE, WI 53207
(414) 483-2678
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2094026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40789900
—
WI
Enumeration date
03/19/2007
Last updated
07/08/2007
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