Organization
PAUSE FOR HEALING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLIE JO LINDBERG OTR (OCCUPATIONAL THERAPIST)
(414) 254-1565
Entity
Organization
Contact information
Practice address
13965 W BURLEIGH RD, SUITE 103, BROOKFIELD, WI 53005-3064
(414) 254-1565
(262) 378-4394
Mailing address
13965 W BURLEIGH RD, SUITE 103, BROOKFIELD, WI 53005-3064
(414) 254-1565
(262) 378-4394
Taxonomy
Speciality
Code
Description
License number
State
225XN1300X
Neurorehabilitation Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861594210
INDIVIDUAL NPI
—
05
—
40898800
—
WI
Enumeration date
02/06/2008
Last updated
04/28/2008
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