Individual
MICHELLE L ANKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
430 MANOR DR, SURING, WI 54174-9182
(920) 842-2191
Mailing address
5780 BERRY LAKE RD, GILLETT, WI 54124-9772
(920) 855-2835
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1530-027
WI
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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