Individual
CHERYL L ENABNIT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1510 FREMONT ST, ALGOMA, WI 54201-1948
(920) 487-5511
Mailing address
1406 LAWE ST, GREEN BAY, WI 54301-3327
(417) 392-9994
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
506545
WI
Other
Enumeration date
02/19/2024
Last updated
02/19/2024
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