Individual
JOY R LAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1660 HOFFMAN RD, GREEN BAY, WI 54311-6299
(920) 337-0771
Mailing address
513 SUSAN ST, COMBINED LOCKS, WI 54113-1319
(920) 470-1282
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3154026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40845200
—
WI
Enumeration date
05/23/2008
Last updated
05/08/2024
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