SearchWisconsinOccupational Therapy Assistant

Mikayla Surprenant

NPI 1265206395 · on the registry since 2023

Practice

Address
3615 Washington Rd Ste A
Kenosha, WI 53144
Phone
(262) 287-0090
Clinicians at this address
10

Registry record

Primary taxonomy
Occupational Therapy Assistant
224Z00000X
Licence states on file
WI
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2023-11-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Wisconsin