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Individual

KRISTEN M FREIBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
11400 W LAKE PARK DR, MILWAUKEE, WI 53224-3035
(414) 365-8300
Mailing address
1002 W POTOMAC DR, OAK CREEK, WI 53154-3743
(262) 653-0850

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3578-026
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40846700
WI
Enumeration date
01/05/2007
Last updated
04/02/2017
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