Individual
MS. MICHELLE LEE RONNESTRAND
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2448 S 102ND ST STE 340, MILWAUKEE, WI 53227-2147
(414) 329-2500
Mailing address
2448 S 102ND ST STE 340, MILWAUKEE, WI 53227-2147
(414) 329-2500
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4868-27
WI
Other
Enumeration date
12/09/2011
Last updated
12/09/2011
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