Individual
MRS. SUSAN MARIE DURANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
9301 N 76TH ST, MILWAUKEE, WI 53223-1074
(414) 355-9300
Mailing address
N98W16670 CONCORD RD, GERMANTOWN, WI 53022-4911
(262) 251-2841
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
370-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40528800
—
WI
Enumeration date
04/10/2008
Last updated
04/10/2008
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