Lori A Dykstra, OT

NPI #1811587454 in Beaver Dam, Wisconsin

Provider Information

NPI Number: 1811587454
Entity Type: Individual
Name: Lori A Dykstra, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Jan 18, 2021
Last Updated: Jan 18, 2021

Practice Location

Address: 707 S UNIVERSITY AVE
City: Beaver Dam
State: Wisconsin
ZIP Code: 53916-3027
Phone: (920) 887-4050

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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