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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

ERIC DYBALA

Active

ERIC DYBALA is a Occupational Therapy Assistant healthcare provider located in APPLETON, Wisconsin. NPI 1003221888 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · APPLETON, WI

Registration Details

NPI Number
1003221888
Provider Type
Individual
Gender
Male
NPI Issued
Jun 30, 2014 (12.150329173904 yrs)
Last Updated
Jan 25, 2023
Licenses
5068-27 (WI)
OTA22019 (NM)

Practice Information

Address
3538 NORTHRIDGE CT
APPLETON, WI, 549146738
Browse WI providers · Browse ZIP 54914
Phone
9202200844
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in APPLETON, WI

Name Credential NPI
WENDY L FASSBENDER OTA 1881647121
PATTY ANN JOHNSON COTA 1548317514
MICHELLE M RUEGER COTA 1356487755
WENDI A DOSZAK COTA 1629114160
ROBIN K JOHNSON-PIERRE COTA 1497891857
LISA M VAN SCHYNDEL COTA 1568508935
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.