Individual
SUSAN MICHELE SANTILLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
N112W17975 MEQUON RD, GERMANTOWN, WI 53022-2425
(262) 532-7680
(262) 532-7602
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(262) 532-7680
(262) 532-7602
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
8004
WI
225XH1200X
Hand Occupational Therapist
056-000454
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100215030
—
WI
Enumeration date
09/28/2006
Last updated
05/17/2023
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