Individual
MICHELLE LICHTENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
W335S5338 WOODCHUCK HOLW, NORTH PRAIRIE, WI 53153-9401
(414) 839-1464
(262) 392-2703
Mailing address
W335S5338 WOODCHUCK HOLW, NORTH PRAIRIE, WI 53153-9401
(414) 839-1464
(262) 392-2703
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2238
WI
Other
Enumeration date
10/08/2014
Last updated
10/08/2014
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