Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 4759-026 | WI |
NPI | 1174927651 |
---|---|
Provider Name | Danielle Spranger |
First Address | Neenah, WI 54956-2883 |
Second Address | Neenah, WI 54956-2883 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/10/2014 |
Last Update Date | 13/10/2014 |