Individual
SUSAN JUNE MUNOZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
8400 SHERIDAN RD, KENOSHA, WI 53143-6327
(262) 658-4141
Mailing address
410 E BOLIVAR AVENUE, MILW, WI 53207
(414) 416-9361
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
12/12/2012
Last updated
12/12/2012
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