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Individual

MRS. SUSAN M. PARKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
318 N MAIN ST, LUXEMBURG, WI 54217-1129
(920) 845-2371
Mailing address
318 N MAIN ST, LUXEMBURG, WI 54217-1129
(920) 845-2371
(920) 845-2232

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
331-026
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
331-026
STATE LICENSE NUMBER FOR
WI
05
40630600
WI
01
914023
NBCOT
Enumeration date
06/19/2007
Last updated
03/05/2026
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