Individual
MRS. LISA MARIE DRAEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
N163W19787 RIVERVIEW DR, JACKSON, WI 53037-8904
(262) 677-0132
Mailing address
N163W19787 RIVERVIEW DR, JACKSON, WI 53037-8904
(262) 677-0132
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3540-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40833500
—
WI
Enumeration date
04/14/2008
Last updated
04/14/2008
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