Individual
MRS. KRISTEN ELIZABETH BARGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1905 W HART RD, BELOIT, WI 53511-2230
(608) 365-2554
Mailing address
PO BOX 33, BRODHEAD, WI 53520-0033
(781) 405-8170
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4771-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
56.008971
OTR LICENSE
IL
Enumeration date
02/14/2011
Last updated
11/06/2012
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