Individual
MRS. TERRI MAY-LISOWSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
1320 WISCONSIN AVE, RACINE, WI 53403-1978
(262) 687-2640
(262) 634-3358
Mailing address
1320 WISCONSIN AVE, RACINE, WI 53403-1978
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
3598-26
WI
Other
Enumeration date
01/07/2010
Last updated
01/07/2010
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