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Nicole Kruse

Occupational Therapist in Maumee, OH. Individual provider (NPI-1).

NPI number1003201054
StatusActive
Last updated in NPPESApr 6, 2015

Details

NPI
1003201054
Entity type
Individual (NPI-1)
Name
Nicole Kruse
Sex
Female
Sole proprietor
Yes
Enumeration date
Apr 6, 2015
Last updated
Apr 6, 2015

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225X00000X Occupational TherapistOT.008940OHYes

Practice location

3600 Butz Rd
Maumee, OH 43537-9691

Phone 419-867-7926

Mailing address

104 W Pendleton St
Columbus Grove, OH 45830-1224

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