Individual
KELLY KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2900 OGDEN AVE, LISLE, IL 60532-1631
(630) 955-8192
Mailing address
1931 PRAIRIE SQ APT 304, SCHAUMBURG, IL 60173-4136
(847) 828-2466
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
056.010252
IL
Other
Enumeration date
06/28/2018
Last updated
06/28/2018
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