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Organization
HOME COMFORT LYMPHEDEMA THERAPY
Active
Organization
HOME COMFORT LYMPHEDEMA THERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAUREN JUNE MINTEN MOT/ OTR/CLT (OCCUPATIONAL THERAPIST)
(414) 534-1570
Entity
Organization
Contact information
Practice address
6624 LONE OAK DR, SHEBOYGAN, WI 53081-9102
(414) 534-1570
Mailing address
6624 LONE OAK DR, SHEBOYGAN, WI 53081-9102
(414) 534-1570
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4552-26
WI
Other
Enumeration date
07/18/2008
Last updated
07/18/2008
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