Individual
MRS. LAURA JEAN KREGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L,CHT
Contact information
Practice address
1325 SAN MARCO BLVD, SUITE 102, JACKSONVILLE, FL 32207-8568
(904) 858-7045
(904) 858-7047
Mailing address
1325 SAN MARCO BLVD, SUITE 200, JACKSONVILLE, FL 32207-8568
(904) 346-3465
(904) 858-6489
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
056-002035
IL
225X00000X
Occupational Therapist
Primary
OT17564
FL
225XH1200X
Hand Occupational Therapist
056-002035
IL
225XH1200X
Hand Occupational Therapist
OT17564
FL
Other
Enumeration date
01/14/2006
Last updated
03/10/2017
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