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Individual
MS. SUSAN JOAN KNUTH
Active
Individual
MS. SUSAN JOAN KNUTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, ATP
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1625-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1625-26
STATE OF WISCONSIN DEPT OF REGULATION AND LICENSING
WI
01
—
808
WISCONSIN DEPARTMENT OF PUBLIC INSTRUCTION - EARLY CHILDHOOD EXCEPTIONAL ED NEED
WI
01
—
812
WISCONSIN DEPARTMENT OF PUBLIC INSTRUCTION - OCCUPATIONAL THERAPY
WI
Enumeration date
12/08/2011
Last updated
12/08/2011
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