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

LISA VANDEVEN, PTA

Active

LISA VANDEVEN, PTA is a Occupational Therapist healthcare provider located in GREEN BAY, Wisconsin. NPI 1902122294 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · GREEN BAY, WI

Registration Details

NPI Number
1902122294
Provider Type
Individual
Gender
Female
NPI Issued
Apr 13, 2010 (16.30682087444 yrs)
Last Updated
Apr 13, 2010

Practice Information

Address
760 PILGRIM WAY
GREEN BAY, WI, 543045263
Browse WI providers · Browse ZIP 54304
Phone
9204964700
Primary Specialty
Occupational Therapist
225200000X

Other Occupational Therapist Providers in GREEN BAY, WI

Name Credential NPI
TINA MEYER 1982717898
MRS. SALLY LYNN FORCEY PTA 1659480382
MRS. SARA ANN ZELLNER PTA 1346359064
ANN ELIZABETH MCKENNA PTA 1609967546
TRACY LYNN VAN DE YACHT PTA 1710076716
MRS. WANDA BERGELIN PTA 1265582191
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.