Individual
SUSAN DESANCTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
7517 W COLD SPRING RD, GREENFIELD, WI 53220-2814
(414) 327-6603
(414) 327-5411
Mailing address
7517 W COLD SPRING RD, GREENFIELD REHABILITATION AGENCY, GREENFIELD, WI 53220-2814
(414) 327-6603
(414) 327-5411
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
09/22/2016
Last updated
09/22/2016
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