Individual
LINDSAY ROSE PRUSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
744 S WEBSTER AVE, GREEN BAY, WI 54301-3505
(920) 445-7222
Mailing address
PO BOX 22487, GREEN BAY, WI 54305-2487
(920) 445-7222
(920) 445-7229
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5753-26
WI
Other
Enumeration date
09/25/2015
Last updated
10/23/2015
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