Individual
MRS. LISA MARIE FLANAGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
205 UNITED WAY, FREDERIC, WI 54837-8938
(715) 327-4297
Mailing address
205 UNITED WAY, FREDERIC, WI 54837-8938
(715) 327-4297
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5031-27
WI
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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