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JACOB LANZENDORF, OT

OT

Occupational Therapist

NPI: 1972157840IndividualAccepts Medicare

Specialties, Licenses & Credentials

Occupational TherapistPrimary

Occupational Therapist

Code: 225X00000X

6589-26(WI)

CMS Specialties

PrimaryOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE

Education

OTHER

Class of 2019

Contact & Hours

Via practice · 5 locations total

Address
1970 S RIDGE RD
GREEN BAY, WI 54304

Quick Facts

NPI
1972157840
Entity Type
Individual
Gender
Male
Medicare
Accepted
Specialties
1
Locations
5
Years in Practice
7

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