Mrs. Mary T Kruse
Occupational Therapist - Neurorehabilitation
1126 S 70th St Suite S305b
West Allis
, Wisconsin 53214-3151
Mrs. Mary T Kruse
Occupational Therapist - Neurorehabilitation
1126 S 70th St Suite S305b
West Allis
, Wisconsin 53214-3151
(414) 476-4165
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About
Features
Specialties
- Occupational Therapist - Neurorehabilitation
Languages spoken
- English
Location
First Address
- Mrs. Mary T Kruse
- 2433 N 117th St
- Wauwatosa, WI
- Zip : 53226-1119
- Phone : (414) 476-4165
Second Address
- Mrs. Mary T Kruse
- 1126 S 70th St Suite S305b
- West Allis, WI
- Zip : 53214-3151
- Phone : (414) 456-2330
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | 1003-026 | WI |
National Provider Identifier
| NPI | 1205094646 |
|---|---|
| Provider Name | Mrs. Mary T Kruse |
| First Address | Wauwatosa, WI 53226-1119 |
| Second Address | West Allis, WI 53214-3151 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 31/05/2008 |
| Last Update Date | 31/05/2008 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 1003-026 | STATE OF WISCONSIN OT LICENSE (01) | WI |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.