Individual
AMY E LEFSTAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3001 GREEN BAY RD, NORTH CHICAGO, IL 60064-3048
(224) 610-5885
Mailing address
7817 22ND AVE, KENOSHA, WI 53143-5720
(602) 812-1770
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
53962
WI
Other
Enumeration date
07/22/2024
Last updated
07/22/2024
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