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Individual

LYNN M GUY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.T.

Contact information

Practice address
12631 W. BELOIT ROAD, NEW BERLIN, WI 53151
(414) 915-7534
Mailing address
12631 W. BELOIT ROAD, NEW BERLIN, WI 53151
(414) 915-7534

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40650600
WI
Enumeration date
05/15/2007
Last updated
06/13/2012
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