Individual
JENNIFER LYNN KREUSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8619 S HOWELL AVE, OAK CREEK, WI 53154-2919
(262) 818-2066
Mailing address
1916 82ND ST, KENOSHA, WI 53143-1610
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4251-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40902200
—
WI
Enumeration date
05/02/2007
Last updated
12/15/2010
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