Individual
SU-ANNE BARRETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
209 WILDERNESS VIEW DR, MARSHFIELD, WI 54449-8357
(877) 823-8357
Mailing address
4739 WILDERNESS LN, HARSHAW, WI 54529-9631
(309) 212-3723
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
057002858
IL
224Z00000X
Occupational Therapy Assistant
057002858
IL
224Z00000X
Occupational Therapy Assistant
5346-27
WI
Other
Enumeration date
08/18/2008
Last updated
01/03/2020
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