Individual
MRS. LINDA LOUISE LEUPOLD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
C.O.T.A.
Contact information
Practice address
2900 CURRY LN, NEW CURATIVE REHABILITATION, GREEN BAY, WI 54311-5857
(920) 468-9129
Mailing address
15526 ROSECRANS RD, MARIBEL, WI 54227-9711
(920) 863-6356
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
912-027
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40731300
—
WI
Enumeration date
09/26/2006
Last updated
07/08/2007
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