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Contact Information

SUSAN G KAZ BORGEMOEN, OTA
3402 HOWLAND AVENUE
SUITE 100
WESTON, WV54476
 Phone: 715-355-5701
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for SUSAN G KAZ BORGEMOEN · (Female)

NPI Number 1346357746
Status Active
Credentials OTA
Entity Individual
Enumeration date 08/23/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 432
  • WI Medicaid 40608500
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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