Individual
KRISTA M WEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MOTR/L
Contact information
Practice address
1060 N 115TH ST, APT 404, WAUWATOSA, WI 53226-3437
(414) 937-2074
Mailing address
2020 W WELLS ST, MILWAUKEE, WI 53233-2720
(414) 937-2074
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4869026
WI
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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