Individual
KATHLEEN CRAIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2895 S MOORLAND RD, NEW BERLIN, WI 53151-3743
(262) 782-9015
(262) 782-9013
Mailing address
460 CANDLEWICK CT, DELAFIELD, WI 53018-1152
(262) 646-5824
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40685100
—
WI
Enumeration date
06/08/2007
Last updated
06/16/2010
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