Provider Demographics
NPI:1386712669
Name:KROENING, CHRISTINE ELAINE (OT MASTERS)
Entity type:Individual
Prefix:MRS
First Name:CHRISTINE
Middle Name:ELAINE
Last Name:KROENING
Suffix:
Gender:F
Credentials:OT MASTERS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13008 BEAR DANCER TRL NE
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87112-3727
Mailing Address - Country:US
Mailing Address - Phone:505-220-8339
Mailing Address - Fax:
Practice Address - Street 1:601 4TH ST SW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87102-3840
Practice Address - Country:US
Practice Address - Phone:505-247-1012
Practice Address - Fax:505-843-9435
Is Sole Proprietor?:No
Enumeration Date:2006-12-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NM125513225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist