Kendra Lynn Lacrosse, OTR

NPI #1255528063 in Portage, Wisconsin

Provider Information

NPI Number: 1255528063
Entity Type: Individual
Name: Kendra Lynn Lacrosse, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Sep 26, 2007
Last Updated: Sep 26, 2007

Practice Location

Address: 555 KARLA CT
City: Portage
State: Wisconsin
ZIP Code: 53901-1426
Phone: (608) 745-1655

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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