Individual
MISS LYNN MARIE SOSNOSKY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1335 S ONEIDA ST, APPLETON, WI 54915-1351
(920) 731-6646
Mailing address
1331 SOUTH ONEIDA STREET, APPLETON, WI 54915
(920) 731-6646
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2420-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40814500
—
WI
Enumeration date
05/28/2008
Last updated
05/28/2008
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