Individual
KRISTINE GREVE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
845 SOUTH MAIN STREET, SUITE 120, FOND DU LAC, WI 54935
(920) 233-0447
(920) 233-1362
Mailing address
845 SOUTH MAIN STREET, SUITE 120, FOND DU LAC, WI 54935
(920) 233-0447
(920) 233-1362
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2316-026
WI
225X00000X
Occupational Therapist
2316026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40886100
—
WI
Enumeration date
05/02/2007
Last updated
02/01/2010
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