Individual
LORI EDDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
620 GRAND VIEW AVE, BLAIR, WI 54616
(608) 989-2195
(608) 989-2265
Mailing address
106 S HOLMEN DR, SUITE 2, HOLMEN, WI 54636-9467
(608) 526-9888
(608) 526-9965
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
492427
WI
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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