Sally Nelson Lysne, OTR

NPI #1922083385 in Sparta, Wisconsin

Provider Information

NPI Number: 1922083385
Entity Type: Individual
Name: Sally Nelson Lysne, OTR
Gender: Not Specified
Sole Proprietor: Not Answered
Primary Specialty: Occupational Therapist
Credential: OTR
Enumeration Date: Dec 8, 2005
Last Updated: Jul 8, 2007

Practice Location

Address: 310 W MAIN ST
City: Sparta
State: Wisconsin
ZIP Code: 54656-2170
Phone: (608) 269-2132

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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