Individual
LACEY ANN ROGGENBUCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1222 E WOODLAND AVE, BARRON, WI 54812-1378
(715) 537-3166
Mailing address
PO BOX 1510, EAU CLAIRE, WI 54702-1510
(715) 838-5222
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5331-26
WI
Other
Enumeration date
03/28/2013
Last updated
09/11/2020
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