Individual
MRS. ROXANNE M LAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
N5614 COUNTY ROAD D, HELENVILLE, WI 53137-9746
(920) 674-3170
Mailing address
1130 COLLINS RD, JEFFERSON, WI 53549-2939
(920) 699-8483
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1640-027
WI
Other
Enumeration date
07/01/2009
Last updated
10/16/2013
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