Individual
MRS. SUSAN CAROL DRAMM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
960 S RAPIDS RD, MANITOWOC, WI 54220-4146
(920) 684-1144
Mailing address
1126 N 16TH ST, MANITOWOC, WI 54220-2607
(920) 682-9268
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1635-027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40847700
—
WI
Enumeration date
05/10/2007
Last updated
07/08/2007
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