Individual
SARAH LATENDRESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
W156N9000 PILGRIM RD # I, MENOMONEE FALLS, WI 53051-2272
(262) 502-8752
Mailing address
8810 W DALLAS ST, MILWAUKEE, WI 53224-4811
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6037-26
WI
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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