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

CARISSA JEAN POLSTER, PTA

Active

CARISSA JEAN POLSTER, PTA is a Occupational Therapist healthcare provider located in FOND DU LAC, Wisconsin. NPI 1720257041 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · FOND DU LAC, WI

Registration Details

NPI Number
1720257041
Provider Type
Individual
Gender
Female
NPI Issued
Feb 21, 2008 (18.444842234348 yrs)
Last Updated
Feb 21, 2008
License
1417-19 (WI)

Practice Information

Address
430 E DIVISION ST
FOND DU LAC, WI, 549354560
Browse WI providers · Browse ZIP 54935
Phone
9209265390
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in FOND DU LAC, WI

Name Credential NPI
JENNIFER L THOMPSON PTA 1255388625
REBECCA A SCHMITZ PTA 1811935695
VICKI D CORCORAN PTA 1962445163
MRS. STACI CHRISTINE POLISHINSKI PTA 1134297070
SARAH A MINTEN PTA 1861538241
TYLER J NORTON 1457494999
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.