Individual
MIRANDA S SCHULENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1011 N 8TH ST, SHEBOYGAN, WI 53081-4226
(920) 459-4339
Mailing address
1011 N 8TH ST, SHEBOYGAN, WI 53081-4226
(920) 459-4339
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5002
WI
Other
Enumeration date
03/21/2011
Last updated
12/28/2016
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