Individual
MS. KRYSTA MERICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
305 HYATT ST, JANESVILLE, WI 53545-2463
(262) 498-4707
Mailing address
305 HYATT ST, JANESVILLE, WI 53545-2463
(262) 498-4707
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
7082-27
WI
Other
Enumeration date
08/07/2023
Last updated
08/07/2023
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