Individual
SUZANNE SALVATO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
25250 75TH ST, SALEM, WI 53168-8705
(262) 843-4200
(262) 843-4578
Mailing address
3915 30TH AVE, KENOSHA, WI 53144-1957
(262) 657-0222
(262) 657-7190
Taxonomy
Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
5094-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
860400015
MEDICARE
WI
Enumeration date
01/12/2012
Last updated
02/14/2012
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