MRS. Lisa Renee Haverly, MA/OT

NPI #1275973042 in Hudson, Wisconsin

Provider Information

NPI Number
1275973042
Entity Type
Individual
Name
MRS. Lisa Renee Haverly, MA/OT
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Occupational Therapist - Pediatrics
Credential
MA/OT
Enumeration Date
Jun 26, 2013
Last Updated
Jun 26, 2013

Practice Location

Address
477 PERCH LAKE RD
City
Hudson
ZIP Code
54016
Phone
(715) 549-6021

Specialties & Taxonomy Codes

Specialty
Occupational Therapist - PediatricsPediatrics

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