IndividualActive
Brian Krause, COTA
NPI 1427315944 · Occupational Therapy Assistant · Gresham, WI
Provider details
- NPI number
- 1427315944
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Male
- Sole proprietor
- No
- License
- 4890-27 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
W10877 Upper Red Lake Rd
Gresham, WI 54128-8995
Phone: (715) 304-6542
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 424
Gresham, WI 54128-0424
Registry dates
- Enumerated
- 2012-04-20
- Last updated
- 2012-04-20
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.