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Individual
MRS. DOROTHY SABINE PURTELL
Active
Individual
MRS. DOROTHY SABINE PURTELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3874-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40459800
—
WI
Enumeration date
05/06/2007
Last updated
08/06/2007
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