Individual
MISS KELLY KRAUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR
Contact information
Practice address
1834 KONGENS GADE, ST THOMAS, VI 00802-6746
(340) 774-4399
Mailing address
993 N 250 E, CHESTERTON, IN 46304-9328
(414) 803-8363
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
31003975A
IN
Other
Enumeration date
07/31/2007
Last updated
07/31/2007
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