Individual
LISA JANE VANDERZANDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
W175N11117 STONEWOOD DR STE 100, GERMANTOWN, WI 53022-6505
(262) 293-3951
Mailing address
740 BELLEVUE ST, GREEN BAY, WI 54302-2443
(920) 639-0038
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6163-26
WI
Other
Enumeration date
12/12/2017
Last updated
12/12/2017
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