Individual
MS. ALI LYNNE MEINBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
N8560 618TH ST, COLFAX, WI 54730-4609
(715) 704-6077
Mailing address
N8560 618TH ST, COLFAX, WI 54730-4609
(715) 704-6077
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1080-27
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1080-27
WI OCCUPATIONAL THERAPY LICENSE
WI
Enumeration date
11/20/2012
Last updated
11/20/2012
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