Individual
LISA DUECKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2725 S MOORLAND RD STE 301, NEW BERLIN, WI 53151-3720
(414) 329-2500
Mailing address
2725 S MOORLAND RD STE 301, NEW BERLIN, WI 53151-3720
(414) 329-2500
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4927
WI
Other
Enumeration date
07/09/2024
Last updated
07/09/2024
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