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

NICHOLAS A GORANSON, COTA

Active

NICHOLAS A GORANSON, COTA is a Occupational Therapist healthcare provider located in MENASHA, Wisconsin. NPI 1578066437 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · MENASHA, WI

Registration Details

NPI Number
1578066437
Provider Type
Individual
Gender
Male
NPI Issued
Mar 16, 2018 (8.41235008477 yrs)
Last Updated
Mar 16, 2018
License
5256-27 (WI)

Practice Information

Address
1700 MIDWAY RD
MENASHA, WI, 549521230
Browse WI providers · Browse ZIP 54952
Phone
9207390111
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in MENASHA, WI

Name Credential NPI
KATE MATHEWS 1699987743
AMY JOAN RIESTERER 1023222106
DAWN PIEPER 1699970277
ADAM J WEBER OT 1053565838
MRS. SARAH ANN GORANSON MS, OTR 1124304050
MS. SUSAN JOAN KNUTH OTR/L, ATP 1275801987
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.