Kristyn Nicole Sanderson OTR

NPI 1144411174 - Occupational Therapy Assistant - 224Z00000X

NPI Details
NPI 1144411174
Gender Female
Enumeration Date 08/06/2007
Last Updated 02/11/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
960 S RAPIDS RD
MANITOWOC WI, 54220-4146, US
Phone (920) 684-1144
Fax
Business Location
2610 RIVERSIDE DR
GREEN BAY WI, 54301-2940, US
Phone (920) 676-2933
Fax
Toxanomy
Taxonomy Code 224Z00000X
License State Wisconsin
License Number 1925027
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According to our database, Mrs. Kristyn Nicole Sanderson OTR NPI is 1144411174, taxonomy code is 224Z00000X and license number is 1925027, license state is located at Wisconsin. Kristyn Nicole Sanderson OTR physically located at 960 S Rapids Rd, Manitowoc WI, 54220-4146. NPI Number Kristyn Nicole Sanderson OTR has the Individual type.

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1144411174 NPI number is provided on an as is basis without warranty of any kind. 1144411174 is maintained by the National Plan & Provider Enumeration System. The contents of Kristyn Nicole Sanderson OTR are for informational purposes only.