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Individual

JERI LAMBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
313 STOUGHTON RD, EDGERTON, WI 53534-1132
(608) 884-1390
Mailing address
313 STOUGHTON RD, EDGERTON, WI 53534-1132
(608) 884-1390

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4589-027
WI

Other

Enumeration date
04/28/2008
Last updated
04/28/2008
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