Individual
CHAD LEE VISINTIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
4914 W FOREST HOME AVE, MILWAUKEE, WI 53219-4724
(715) 923-5579
Mailing address
4914 W FOREST HOME AVE, MILWAUKEE, WI 53219-4724
(715) 923-5579
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4737-27
WI
Other
Enumeration date
11/06/2009
Last updated
11/06/2009
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