Individual
LISA R KNOBLAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTR
Contact information
Practice address
4545 N 92ND ST, WAUWATOSA, WI 53225-4807
(414) 847-3098
Mailing address
14340 W FIELDPOINTE DR, NEW BERLIN, WI 53151-1223
(414) 217-1017
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4333-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40895900
—
WI
Enumeration date
05/01/2007
Last updated
11/21/2023
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