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Individual

ALISHIA ELIZABETH MAE KRUEGER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
1718 JEFFERSON ST, NEW LONDON, WI 54961-2326
(920) 359-0622
Mailing address
1718 JEFFERSON ST, NEW LONDON, WI 54961-2326
(920) 359-0622

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
41049900
WI
225X00000X
Occupational Therapist
Primary
6908-26
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41049900
WI
Enumeration date
02/04/2009
Last updated
05/04/2026
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