Individual
NANCY SUE EISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3506 WASHINGTON RD, KENOSHA, WI 53144-1654
(262) 653-3800
Mailing address
6116 50TH AVE, KENOSHA, WI 53142-1326
(262) 914-9720
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/23/2023
Last updated
05/23/2023
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