Individual
MRS. ANNE THERESA LIEBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR L
Contact information
Practice address
811 HARDING ST, WAUPACA, WI 54981-2012
(715) 258-6337
Mailing address
811 HARDING ST, WAUPACA, WI 54981-2012
(314) 541-6809
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
001228
MO
225XP0200X
Pediatric Occupational Therapist
Primary
6423-26
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100220484
—
WI
Enumeration date
02/02/2007
Last updated
04/21/2023
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