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Individual

JOANN P SORENSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
2021 S ALVERNO RD, MANITOWOC, WI 54220-9208
(920) 683-4100
Mailing address
2021 S ALVERNO RD, MANITOWOC, WI 54220-9208
(920) 683-4100

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4854-27
WI

Other

Enumeration date
05/08/2013
Last updated
06/12/2013
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