Individual
LISA MARIE SCHULDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
598 SPRING PARK LOOP, BOURBONNAIS, IL 60914-4968
(815) 671-7092
Mailing address
1446 N 1200 EAST RD, ONARGA, IL 60955-7542
(815) 274-4966
Taxonomy
Speciality
Code
Description
License number
State
222Q00000X
Developmental Therapist
Primary
—
—
Other
Enumeration date
04/28/2019
Last updated
04/28/2019
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