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Individual

DIANE VISURI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MSOT/L

Contact information

Practice address
S57W29687 SAYLESVILLE RD, WAUKESHA, WI 53189-9793
(262) 968-4477
Mailing address
S57W29687 SAYLESVILLE RD, WAUKESHA, WI 53189-9793
(262) 968-4477

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6026-26
WI

Other

Enumeration date
03/07/2017
Last updated
03/07/2017
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