Individual
LAURIE JEAN SCHIENEBECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
98 SHERRY AVE, PARK FALLS, WI 54552-1467
(715) 762-7470
(715) 762-3602
Mailing address
98 SHERRY AVE, PARK FALLS, WI 54552-1467
(715) 762-7470
(715) 762-3602
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1666-027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40829800
—
WI
Enumeration date
04/28/2008
Last updated
04/28/2008
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