Individual
MICHELLE SURPRENANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3050 N ORMSBY BLVD, CARSON CITY, NV 89703-8378
Mailing address
13609 CALIFORNIA ST STE 200, OMAHA, NE 68154-5245
(402) 891-1118
(402) 895-7812
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
02/15/2018
Last updated
02/15/2018
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