Individual
MS. SANDRA MARIE GEROSA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OCCUPATIONAL THERAP
Contact information
Practice address
19525 W NORTH AVENUE, WHEATON FRANCISCAN HEALTHCARE MARIAN FRANCISCAN SERVICE, BROOKFIELD, WI 53045
(262) 785-1114
(262) 780-3805
Mailing address
21875 GALAHAD LANE, BROOKFIELD, WI 53045
(262) 797-9566
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2217026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40758700
—
WI
Enumeration date
06/07/2007
Last updated
07/08/2007
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