Individual
LEEANNA MAE RUPRECHT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
35 N 28TH ST, SUPERIOR, WI 54880-5557
(715) 392-3300
Mailing address
4481 S RIVORD RD, SUPERIOR, WI 54880-8092
(715) 699-5993
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4520-27
WI
Other
Enumeration date
08/22/2017
Last updated
08/22/2017
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