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NPI Code Detail

MEDICARE: SUSAN M LIEBHERR OTR

MEDICARE: SUSAN M LIEBHERR 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 Therapist264-026WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1881867836
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN M LIEBHERR OTR
Provider Business Mailing Address
First Line : 718 JUPITER DR
Second Line :
City : MADISON
State : WI
Zip : 53718-2950
Country : US
Telephone Number : 608-663-8706
Fax Number :
Provider Business Practice Location Address
First Line : 718 JUPITER DR
Second Line :
City : MADISON
State : WI
Zip : 53718-2950
Country : US
Telephone Number : 608-663-8706
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/10/2008
Last Update Date : 04/28/2008

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Directions to “ SUSAN M LIEBHERR OTR” Practice Location

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