Individual
WENDY A ROUSSEAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
N84W16889 MENOMONEE AVE, MENOMONEE FALLS, WI 53051-2810
(262) 251-7500
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(800) 326-2250
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1856
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100080827
—
WI
01
—
NA
NA
—
Enumeration date
08/14/2018
Last updated
08/28/2024
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