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NPI Code Detail

MEDICARE: SUSAN HUBATCH OTR

MEDICARE: SUSAN HUBATCH OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist2482WI

General Provider Information

NPI Number : 1366402257
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN HUBATCH OTR
Provider Business Mailing Address
First Line : 6737 W WASHINGTON ST STE 2275
Second Line :
City : WEST ALLIS
State : WI
Zip : 53214-5666
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6737 W WASHINGTON ST STE 2275
Second Line :
City : WEST ALLIS
State : WI
Zip : 53214-5666
Country : US
Telephone Number : 952-285-2840
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/24/2006
Last Update Date : 07/21/2022

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Directions to “ SUSAN HUBATCH OTR” Practice Location

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