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Individual

KAREN L. CROOK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
505 BROADWAY ST., BARABOO, WI 53913
(608) 524-7918
Mailing address
6201 LODI SPRINGFIELD RD., WAUNAKEE, WI 53597

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
531027
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40686600
WI
Enumeration date
04/11/2007
Last updated
07/08/2007
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