Individual
MRS. SARA JANE KREGEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1902 MEAD AVE, SHEBOYGAN, WI 53081-6140
(920) 458-8333
Mailing address
3620 N 48TH ST, SHEBOYGAN, WI 53083-2557
(920) 207-1310
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4118-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40872600
—
WI
Enumeration date
05/07/2007
Last updated
07/09/2007
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