Individual
MRS. ELIZABETH DENNIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
835 S VAN BUREN ST, GREEN BAY, WI 54301-3526
(920) 366-3019
Mailing address
1726 SHAWANO AVE, GREEN BAY, WI 54303-3216
(920) 498-4200
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
WI
Other
Enumeration date
07/15/2019
Last updated
07/24/2019
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