Individual
MRS. SARAH ANN GORANSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR
Contact information
Practice address
1700 MIDWAY RD, MENASHA, WI 54952-1230
(920) 739-0111
Mailing address
W6014 CORAL CT, APPLETON, WI 54915-7425
(920) 475-1579
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5086-26
WI
225X00000X
Occupational Therapist
—
—
Other
Enumeration date
10/24/2011
Last updated
03/17/2018
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