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

MRS. LYDIAWATI KURNIAWAN, PTA

Active Sole Proprietor

MRS. LYDIAWATI KURNIAWAN, PTA is a Occupational Therapist healthcare provider located in VIROQUA, Wisconsin. NPI 1487922316 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · VIROQUA, WI

Registration Details

NPI Number
1487922316
Provider Type
Individual
Gender
Female
NPI Issued
Dec 7, 2011 (14.500811089158 yrs)
Last Updated
Dec 7, 2011
License
1583-19 (WI)
Sole Proprietor
Yes

Practice Information

Address
E7404A COUNTY ROAD BB
VIROQUA, WI, 546657502
Browse WI providers · Browse ZIP 54665
Phone
6086375422
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in VIROQUA, WI

Name Credential NPI
TERRIE BRAUN-JOHNSON PTA 1659548014
LORNA OLSON COTA 1609043868
NICOLE WATHKE PTA 1508033762
SARAH LYNN OLSON PTA/LAT 1568790434
AMBER BELLE EMLER PTA 1356679229
ALLISON LYNN WILLIAMSON PTA 1073841946
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.