MIKAYLA ROSE SURPRENANT

KENOSHA, WI
NPI1265206395
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  7107-27)
Enumeration Date2023-11-09
Last Update Date2023-11-15
Business Address
MIKAYLA ROSE SURPRENANT
3615 WASHINGTON RD STE A
KENOSHA, WI 53144-1640
Phone number: 262-287-0090
Mailing Address
MIKAYLA ROSE SURPRENANT
3615 WASHINGTON RD STE A
KENOSHA, WI 53144-1640
Phone number:
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