Individual
MS. PATRICIA BURKE KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
140 S MARION AVE, BREMERTON, WA 98312-3639
(360) 479-4747
(360) 478-6246
Mailing address
514 PERRY AVE N, PORT ORCHARD, WA 98366-5159
(360) 895-5429
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OC00000534
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4111589
—
WA
Enumeration date
07/18/2007
Last updated
07/18/2007
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