Mikayla Rose Surprenant
Mikayla Rose Surprenant is an Occupational Therapy Assistant in Kenosha, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2023.
- Licensed in
- WI
- In the registry since
- 2023
Practice location Address checks out
3615 Washington Rd Ste AKenosha, WI 53144-1640
Phone: (262) 287-0090
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence 7107-27 (WI) |
|---|
Record details
| NPI number | 1265206395 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | November 9, 2023 |
| Last updated in NPPES | November 15, 2023 |
| Certification date | November 15, 2023 |
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