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1386292308
NATHAN JAMES CROATT
KENOSHA, WI
NPI
1386292308
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 26-6587)
Enumeration Date
2019-09-03
Last Update Date
2019-09-03
Business Address
NATHAN JAMES CROATT OTR/L
5219 88TH AVE
KENOSHA, WI 53144-7468
Phone number: 262-653-0850
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Mailing Address
NATHAN JAMES CROATT OTR/L
2440 S KINNICKINNIC AVE APT 311
MILWAUKEE, WI 53207-1693
Phone number: 507-226-5084
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