Individual
MS. SANDRA LYNNE CHLUBNA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
6202 STATE HIGHWAY 42, EGG HARBOR, WI 54209-9135
(920) 743-4066
(920) 743-8994
Mailing address
6202 STATE HIGHWAY 42, EGG HARBOR, WI 54209-9135
(920) 743-4066
(920) 743-8994
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1795-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40630800
—
WI
Enumeration date
05/15/2008
Last updated
05/15/2008
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