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Individual

SONJA LEMKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
371 E 1ST ST, FOND DU LAC, WI 54935-4563
(920) 907-3967
Mailing address
717 MCCOLM ST, PLYMOUTH, WI 53073-2319
(920) 838-0381

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
317990
WI
225XP0200X
Pediatric Occupational Therapist
5392
WI

Other

Enumeration date
08/22/2017
Last updated
08/20/2020
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