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Contact Information

DEANNA P DORAISWAMY, OT
2961 SAINT ANTHONY DR
GREEN BAY, WI54311
 Phone: 920-468-0861
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for DEANNA P DORAISWAMY · (Female)

NPI Number 1104191824
Status Active
Credentials OT (Occupational Therapist)
Entity Individual
Enumeration date 03/13/2012
Last updated 06/14/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • VA License # 0119005787
  • WI License # 4982-026
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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