Individual
MS. SUSAN KAY OSTERN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1800 NEW YORK AVE, SUPERIOR, WI 54880-2008
(715) 394-5591
Mailing address
1800 NEW YORK AVE, SUPERIOR, WI 54880-2008
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
200418
MN
224Z00000X
Occupational Therapy Assistant
Primary
2053-27
WI
Other
Enumeration date
03/02/2012
Last updated
03/02/2012
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