Lori J Miyazato, OTR

NPI #1659328854 in Waupun, Wisconsin

Provider Information

NPI Number: 1659328854
Entity Type: Individual
Name: Lori J Miyazato, OTR
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: May 31, 2006
Last Updated: Aug 16, 2007

Practice Location

Address: 620 W BROWN ST
City: Waupun
State: Wisconsin
ZIP Code: 53963-1702
Phone: (920) 324-6544

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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