Individual
MR. LEROY MENDELL JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTR
Contact information
Practice address
1020 HILL ST, WATERTOWN, WI 53098-3016
(920) 206-4935
Mailing address
1020 HILL ST, WATERTOWN, WI 53098-3016
(920) 206-4935
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1505 026
WI
Other
Enumeration date
02/09/2006
Last updated
02/21/2013
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