Individual
MISS RENATA MARIE CUNNINGHAM
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
2025 E NEWPORT AVE, MILWAUKEE, WI 53211-2906
(414) 298-6804
Mailing address
4034 S 1ST PL, MILWAUKEE, WI 53207-4310
(414) 690-8458
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1093-027
WI
Other
Enumeration date
06/04/2006
Last updated
07/08/2007
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