Individual
MS. LISEL MARIE LOVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
6101 16TH ST, RACINE, WI 53406-4467
(262) 898-2777
Mailing address
6101 16TH ST, RACINE, WI 53406-4467
(262) 898-2777
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5788-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1508230525
—
WI
Enumeration date
11/16/2015
Last updated
02/23/2023
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