Individual
MRS. MELANIE SUE GONNERING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
200 S 9TH ST, DE PERE, WI 54115-1393
(920) 338-4146
Mailing address
W2151 LAU ROAD, KAUKAUNA, WI 54130
(920) 788-6758
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5550
WI
Other
Enumeration date
11/09/2015
Last updated
11/09/2015
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