CRYSTAL A GERONDALE

GREEN BAY, WI
NPI1962668079
Former NameCRYSTAL A KNIPPEL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WI  3527-26)
Enumeration Date2008-07-29
Last Update Date2020-05-01
Business Address
Mrs. CRYSTAL A GERONDALE OTR
744 S WEBSTER AVE
GREEN BAY, WI 54301-3505
Phone number: 920-445-7226
Mailing Address
Mrs. CRYSTAL A GERONDALE OTR
PO BOX 22487
GREEN BAY, WI 54305-2487
Phone number: 920-445-7222
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