Individual
KRISTEN ELAINE GRUNEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
2500 OVERLOOK TER, MADISON, WI 53705-2254
(608) 256-1901
(608) 280-7079
Mailing address
913 LIBERTY LN, WATERTOWN, WI 53094-6009
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
933-026
WI
Other
Enumeration date
09/02/2006
Last updated
07/08/2007
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