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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MIKAYLA ROSE SURPRENANT

Active

MIKAYLA ROSE SURPRENANT is a Occupational Therapy Assistant healthcare provider located in KENOSHA, Wisconsin. NPI 1265206395 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · KENOSHA, WI

Registration Details

NPI Number
1265206395
Provider Type
Individual
Gender
Female
NPI Issued
Nov 9, 2023 (2.7750691865282 yrs)
Last Updated
Nov 15, 2023
License
7107-27 (WI)

Practice Information

Address
3615 WASHINGTON RD STE A
KENOSHA, WI, 531441640
Browse WI providers · Browse ZIP 53144
Phone
2622870090
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in KENOSHA, WI

Name Credential NPI
ANDREA SJAARDEMA COTA 1104965474
CORINNE S MAERZKE COTA 1114149069
ELIZABETH MICHELLE BROWN COTA 1710199179
MRS. TRACY WILLMS COTA 1295948438
MRS. ROBYN LOUISE VANDE BERG COTA/L 1992998132
DEBORAH SCHWERDTFEGER 1841467438
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.