Individual provider · Type 1 NPI

Crystal A. Gerondale, OTR

Occupational Therapist · Green Bay, WI

NPI number 1962668079 Active

Practice location

744 S Webster Ave
Green Bay, WI 54301-3505

Fax (920) 445-7238

Mailing address

PO Box 22487
Green Bay, WI 54305-2487

Other practice locations

  • 2305 San Luis Pl, Green Bay, WI 54304-5211 · (920) 494-5231

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X3527-26 (WI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1962668079

Crystal A. Gerondale, OTR's National Provider Identifier is 1962668079, issued on Jul 29, 2008. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Green Bay, WI. The record was last updated on May 1, 2020.