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

MRS. LISA RENEE HAVERLY, MA/OT

Active Sole Proprietor

MRS. LISA RENEE HAVERLY, MA/OT is a Pediatric Occupational Therapist healthcare provider located in HUDSON, Wisconsin. NPI 1275973042 is currently active in the NPPES registry. Verify at CMS.

Pediatric Occupational Therapist · HUDSON, WI

Registration Details

NPI Number
1275973042
Provider Type
Individual
Gender
Female
NPI Issued
Jun 26, 2013 (13.107562983172 yrs)
Last Updated
Jun 26, 2013
License
3124-26 (WI)
Sole Proprietor
Yes

Practice Information

Address
477 PERCH LAKE RD
HUDSON, WI, 54016
Browse WI providers · Browse ZIP 54016
Phone
7155496021
Primary Specialty
Pediatric Occupational Therapist
225XP0200X

Other Pediatric Occupational Therapist Providers in HUDSON, WI

Name Credential NPI
HOLLY MARIE PAULSON OTRL 1184881427
ALLISON GILBERT OTR/L 1144683871
NICOLE KOENKE OTR/L 1588297311
CAROLINE MCCLEARY 1053912063
NICOLE MARIE CHISHOLM OTR/L 1013592542
MALORIE MORGAN RICHER 1093487274
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.