Individual
LISA SCHWARTZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
W3985 COUNTY ROAD NN, ELKHORN, WI 53121-4337
(262) 741-2000
Mailing address
PO BOX 735044, CHICAGO, IL 60673-5044
(414) 246-6800
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5372
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100033451
—
WI
Enumeration date
11/06/2013
Last updated
10/19/2023
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