Individual
MS. LISA MARIE HEISLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR, CAPS, CDCS
Contact information
Practice address
8614 CENTER RD, NEWTON, WI 53063-9603
(920) 726-4832
(920) 726-4833
Mailing address
8614 CENTER RD, NEWTON, WI 53063-9603
(920) 726-4832
(920) 726-4833
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
251-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40680400
—
WI
Enumeration date
07/31/2006
Last updated
07/09/2007
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