Individual
SUSAN DORSETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1226 BERLIN ST, WAUPACA, WI 54981-1991
(715) 942-1422
Mailing address
W6054 ARCHER LN, WILD ROSE, WI 54984-9074
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
932-27
WI
Other
Enumeration date
11/29/2011
Last updated
11/29/2011
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