Individual
MRS. LISA ANN TEICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1818 N MEADE ST, APPLETON, WI 54911-3454
(920) 731-4101
Mailing address
4917 N SILENTWIND WAY, APPLETON, WI 54913-6840
(920) 735-0440
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
758-026
WI
Other
Enumeration date
09/25/2007
Last updated
09/25/2007
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