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Individual

LISA M VAN SCHYNDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
W7174 SPENCER RD, APPLETON, WI 54914-8516
(920) 428-3840
Mailing address
W7174 SPENCER RD, APPLETON, WI 54914-8516
(920) 428-3840

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1990
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
41042700
WI
Enumeration date
01/30/2007
Last updated
09/08/2022
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