Individual
MRS. ASHLEY LIEBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1320 S GREEN BAY ROAD, RACINE, WI 53406
(262) 886-3431
Mailing address
10540 S JESSICA DR, OAK CREEK, WI 53154-6492
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
4687-27
WI
Other
Enumeration date
11/26/2018
Last updated
11/26/2018
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