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Susan Renard, COTA
NPI 1386946135 · on the registry since 2010
Practice
- Address
- 1760 Shawano Ave
Green Bay, WI 54303 - Phone
- (920) 499-5191
- Fax
- (920) 499-8959
- Organisation at this address
- Ccc Of West Green Bay Llc
Manor Care Of Green Bay Wi (West) LlcInferred from a shared address, not stated in the registry. - Clinicians at this address
- 16
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
- 2010-11-30
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