Michelle Lichtenberg, OT

NPI #1780087403 in North Prairie, Wisconsin

Provider Information

NPI Number: 1780087403
Entity Type: Individual
Name: Michelle Lichtenberg, OT
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Oct 8, 2014
Last Updated: Oct 8, 2014

Practice Location

Address: W335S5338 WOODCHUCK HOLW
City: North Prairie
State: Wisconsin
ZIP Code: 53153-9401
Phone: (414) 839-1464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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