Individual
MRS. LISA ANN LINDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
C.O.T.A
Contact information
Practice address
115 E ARNDT ST, FOND DU LAC, WI 54935-2461
(920) 923-7054
(920) 923-7058
Mailing address
124 7TH ST, FOND DU LAC, WI 54935-5085
(920) 926-0179
(920) 926-0179
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
1049-027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40772700
—
WI
Enumeration date
05/03/2007
Last updated
07/09/2007
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