Individual
MRS. SUSAN MICHELLE SCHULTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1551 OLENE AVE N, WEST LAKELAND, MN 55082-1835
(651) 387-1257
Mailing address
1551 OLENE AVE N, WEST LAKELAND, MN 55082-1835
(651) 387-1257
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
102094
MN
225X00000X
Occupational Therapist
3251026
WI
Other
Enumeration date
02/10/2012
Last updated
02/10/2012
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