Mrs. Lisa Renee Haverly, MA/OT
Mrs. Lisa Renee Haverly, MA/OT is a Pediatric Occupational Therapist in Hudson, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2013
Practice location Address checks out
477 Perch Lake RdHudson, WI 54016 Not confirmed with CMS for 13 years — call before visiting
Phone: (715) 549-6021
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Pediatric Occupational Therapist (primary) | Taxonomy 225XP0200X · Licence 3124-26 (WI) |
|---|
Record details
| NPI number | 1275973042 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MA/OT |
| Sole proprietor | Yes |
| NPI enumerated | June 26, 2013 |
| Last updated in NPPES | June 26, 2013 |
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