Individual
KRISTINE NOEL KOENIGS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
501 N LAKE ST, PESHTIGO, WI 54157-1013
(715) 582-2278
Mailing address
2721 RICHARD ST, MARINETTE, WI 54143-4117
(715) 735-5251
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4605-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41073700
—
WI
Enumeration date
09/26/2008
Last updated
10/10/2012
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