Individual
SANDRA ANN CERANSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.R.
Contact information
Practice address
W131S6680 KIPLING DR, MUSKEGO, WI 53150-3402
(414) 425-0090
Mailing address
W131S6680 KIPLING DR, MUSKEGO, WI 53150-3402
(414) 425-0090
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1102-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1102-26
OT LICENSE
WI
05
—
40508300
—
WI
01
—
AA340687
NBCOT REGISTRATION
WI
Enumeration date
04/11/2012
Last updated
05/10/2013
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