Individual
DAWN DANIELLE CRANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
102 NORTH STATE STREET, ROCHESTER, WI 53167
(262) 331-4397
Mailing address
3346 MEACHEM RD, RACINE, WI 53405-4666
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4088026
WI
Other
Enumeration date
07/26/2006
Last updated
04/20/2008
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