| Lori J Miyazato, OTR | |
|
620 W Brown St, Waupun, WI 53963-1702 | |
| (920) 324-6544 | |
| Not Available |
| Full Name | Lori J Miyazato |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 620 W Brown St, Waupun, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659328854 | NPI | - | NPPES |
| 40861500 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 3696-026 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Lori J Miyazato, OTR 620 W Brown St, Waupun, WI 53963-1702 Ph: (920) 324-6544 | Lori J Miyazato, OTR 620 W Brown St, Waupun, WI 53963-1702 Ph: (920) 324-6544 |
Rachel Peppler, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 W Brown St, Waupun, WI 53963 Phone: 920-324-5581 | |
Donna L Thomas, OTR, CKTP Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 W Brown St, Waupun, WI 53963 Phone: 920-324-6544 | |
Madeline Younger, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 620 W Brown St, Waupun, WI 53963 Phone: 920-324-5581 |