Most Relevant Information
Provider Data
| NPI Number: | 1003201054 |
| Provider Name: | NICOLE KRUSE |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | OT.008940 |
Most Important Dates
| Enumeration Date: | 04/06/2015 |
| Last Updated: | 04/06/2015 |
Provider Practice Location
3600 BUTZ RD
MAUMEE
OH
435379691
Practice Location Phone/Fax
| Phone: | 4198677926 |
| Fax: |
Provider Mailing Location
104 W PENDLETON ST
COLUMBUS GROVE
OH
458301224
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |