Individual
MS. SUSAN ANN DOBBERPUHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
306 N SPRINT ST, PORT WASHINGTON, WI 53074
(262) 284-2668
Mailing address
306 N SPRING ST, PORT WASHINGTON, WI 53074
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1841026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40864700
—
WI
Enumeration date
11/21/2007
Last updated
12/04/2007
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