Individual
GRETTA KRISTAN SCHOLTEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
40W310 LAFOX RD UNIT A1, ST CHARLES, IL 60175-6591
(630) 444-0077
Mailing address
40W310 LAFOX RD UNIT A1, ST CHARLES, IL 60175-6591
(630) 444-0077
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5201008261
MI
Other
Enumeration date
08/14/2012
Last updated
03/17/2018
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