Deanna P Doraiswamy, OT

NPI #1104191824 in Green Bay, Wisconsin

Provider Information

NPI Number: 1104191824
Entity Type: Individual
Name: Deanna P Doraiswamy, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Mar 13, 2012
Last Updated: Jun 14, 2018

Practice Location

Address: 2961 SAINT ANTHONY DR
City: Green Bay
State: Wisconsin
ZIP Code: 54311
Phone: (920) 468-0861

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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