Individual
DENISE R SUENNEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
425 DAVIS ST, HAMMOND, WI 54015-9615
(715) 796-2218
Mailing address
1732 140TH ST, NEW RICHMOND, WI 54017-8510
(715) 246-3925
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
343-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40543600
—
WI
Enumeration date
05/09/2007
Last updated
07/08/2007
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