Individual
LISA A BRICKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
557 N WASHINGTON ST, JANESVILLE, WI 53548-2907
(608) 754-6000
Mailing address
557 N WASHINGTON ST, JANESVILLE, WI 53548-2907
(608) 754-6000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4478
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4478
LICENSE
WI
Enumeration date
10/19/2006
Last updated
07/08/2007
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