Individual
DYAN C BADORA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A
Contact information
Practice address
5404 W LOOMIS RD, GREENDALE, WI 53129-1411
(414) 421-0088
Mailing address
5404 W LOOMIS RD, GREENDALE, WI 53129-1411
(414) 421-0088
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
570-027
WI
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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