Individual
MRS. LISA E. DUDZINSKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
2801 W KINNICKINNIC RIVER PKWY STE 160, MILWAUKEE, WI 53215-3699
(414) 649-7946
(414) 385-8799
Mailing address
2801 W KINNICKINNIC RIVER PKWY STE 160, MILWAUKEE, WI 53215-3699
(414) 649-7946
(414) 385-8799
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
577-27
WI
Other
Enumeration date
08/15/2016
Last updated
08/15/2016
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