Individual
MRS. WENDY LIPPERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5 PARK VIEW LN, WATERTOWN, WI 53094-4112
(920) 261-6749
Mailing address
5 PARK VIEW LN, WATERTOWN, WI 53094-4112
(920) 261-6749
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1879026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40806900
—
WI
Enumeration date
05/06/2008
Last updated
05/06/2008
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