Individual
LINDA MARIE SOCKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
812 S FISK STREET, SUITE 109, GREEN BAY, WI 54304
(920) 429-9936
Mailing address
812 S FISK STREET, SUITE 109, GREEN BAY, WI 54304
(920) 429-9936
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
AA569723
—
225XP0200X
Pediatric Occupational Therapist
1358
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40701100
—
WI
Enumeration date
08/22/2007
Last updated
08/22/2007
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