Individual
MRS. JENNA MARIE KROEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
8815 PIQUAD RD, ELIDA, OH 45807-9441
(567) 204-6488
Mailing address
8815 PIQUAD RD, ELIDA, OH 45807-9441
(567) 204-6488
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT009270
OH
Other
Enumeration date
02/27/2017
Last updated
04/08/2021
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