Great Lakes Healthcare, Inc.
NPI #1184282618 in Germantown, Wisconsin
Provider Information
- NPI Number
- 1184282618
- Entity Type
- Organization
- Organization Name
- Great Lakes Healthcare, Inc.
- Primary Specialty
- Occupational Therapist
- Enumeration Date
- May 30, 2019
- Last Updated
- Mar 17, 2021
Practice Location
- Address
- W175N11117 STONEWOOD DR STE 100
- City
- Germantown
- State
- Wisconsin
- ZIP Code
- 53022-6505
- Phone
- (208) 401-1369
Authorized Official
- Name
- LEE JOHNSON
- Title
- TREASURER
- Phone
- (208) 401-1369
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
| Speech-Language Pathologist |
| Occupational Therapist |
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