Individual
LINDSAY RICHISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1902 MEAD AVE, SHEBOYGAN, WI 53081-6140
(262) 305-6716
Mailing address
1902 MEAD AVE, SHEBOYGAN, WI 53081-6140
(262) 305-6716
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5112-27
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20182600
—
WI
Enumeration date
08/07/2014
Last updated
10/22/2014
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