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NPI Code Detail

MEDICARE: KRISTA VICTORIA GEHRINGER

MEDICARE:   KRISTA VICTORIA GEHRINGER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist4423-26WI

General Provider Information

NPI Number : 1588993885
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTA VICTORIA GEHRINGER
Provider Business Mailing Address
First Line : 3023 S 84TH ST
Second Line :
City : WEST ALLIS
State : WI
Zip : 53227-3703
Country : US
Telephone Number : 414-607-4100
Fax Number :
Provider Business Practice Location Address
First Line : 3023 S 84TH ST
Second Line :
City : WEST ALLIS
State : WI
Zip : 53227-3703
Country : US
Telephone Number : 414-607-4100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2009
Last Update Date : 12/15/2009

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Directions to “ KRISTA VICTORIA GEHRINGER ” Practice Location

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