IndividualActive
Mary Kruse, O.T.
NPI 1205094646 · Neurorehabilitation Occupational Therapist · West Allis, WI
Provider details
- NPI number
- 1205094646
- Entity type
- Individual
- Primary specialty
- Neurorehabilitation Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- O.T.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 1003-026 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1126 S 70th St
Suite S305b
West Allis, WI 53214-3151
Phone: (414) 456-2330
Approximate (ZIP-level) locationGet directions
Mailing address
2433 N 117th St
Wauwatosa, WI 53226-1119
Registry dates
- Enumerated
- 2008-05-31
- Last updated
- 2008-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.