Individual
EMMA KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
430 E DIVISION ST, FOND DU LAC, WI 54935
(651) 786-9342
Mailing address
430 E DIVISION ST, FOND DU LAC, WI 54935-4560
(651) 786-9342
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5792
WI
Other
Enumeration date
02/18/2016
Last updated
09/04/2018
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