NPI 1003193236

Stephanie Keranen, COTA

Practitioner Occupational Therapy Assistant Green Bay, WI

Practice location

Address: 2305 San Luis Pl, Green Bay, WI 54304-5211
Phone: (920) 494-5231
Mailing address: 420 5th St, Neenah, WI 54956-2867

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 4715-27 (WI)

Other Occupational Therapy Assistant providers in Wisconsin →

Registry record

NPI: 1003193236
Entity type: Individual
Sex (as registered): Female
NPI issued: 16 Nov 2011
Record last updated: 16 Nov 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.