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Individual

MRS. AMANDA KAY KREUZER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
3109 30TH AVE, KENOSHA, WI 53144
(262) 764-4225
(262) 764-4296
Mailing address
3109 30TH AVE, KENOSHA, WI 53144
(262) 764-4225
(262) 764-4296

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4663-27
WI

Other

Enumeration date
01/28/2014
Last updated
01/28/2014
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