Bonnie Desautelle

NPI #1225282957 in Dousman, Wisconsin

Provider Information

NPI Number: 1225282957
Entity Type: Individual
Name: Bonnie Desautelle
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Enumeration Date: Nov 7, 2008
Last Updated: Nov 7, 2008

Practice Location

Address: W330S3331 BRYN MAWR RD
City: Dousman
State: Wisconsin
ZIP Code: 53118-9719
Phone: (262) 392-2034

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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