Individual
MRS. THERESA SUSAN SCHULZE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
107 E BECKERT RD, NEW LONDON, WI 54961-2509
(920) 982-5354
Mailing address
N1590 ERDINE LN, HORTONVILLE, WI 54944-8412
(920) 475-4659
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
494427
WI
Other
Enumeration date
06/16/2014
Last updated
06/16/2014
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