Individual
MRS. KRISTINE MARIE VAN ESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
7135 ROCKY KNOLL PKWY, PLYMOUTH, WI 53073
(920) 893-6441
Mailing address
N6162 HILLSIDE RD, PLYMOUTH, WI 53073-4326
(920) 893-9727
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
1427-26
WI
Other
Enumeration date
02/06/2012
Last updated
02/28/2014
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