Individual
HOPE LAUREN DESANTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1705 16TH AVE, CUMBERLAND, WI 54829-8601
(715) 822-7500
Mailing address
1705 16TH AVE, CUMBERLAND, WI 54829-8601
(715) 822-7500
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
7156
WI
225XP0200X
Pediatric Occupational Therapist
Primary
PENDING
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
JZH125835293001
BLUE CROSS BLUE SHIELD
MN
Enumeration date
06/14/2021
Last updated
02/18/2026
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