IndividualActive
Patricia Busch, COTA
NPI 1407063712 · Occupational Therapy Assistant · Suring, WI
Provider details
- NPI number
- 1407063712
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- License
- 976-027 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
430 Manor Dr
Suring, WI 54174-9182
Phone: (920) 842-2191
Approximate (ZIP-level) locationGet directions
Mailing address
1444 S Park St
Shawano, WI 54166-3720
Additional practice locations (1)
- 1250 S Evergreen StShawano, WI 54166-3514Phone: (715) 853-2413
Registry dates
- Enumerated
- 2007-05-17
- Last updated
- 2023-06-07
- Certified
- 2023-06-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.