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Contact Information

LORI EDDY
620 GRAND VIEW AVE
BLAIR, WI54616
 Phone: 608-989-2195
 Fax: 608-989-2265
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapy Assistant

224Z00000X
Indicates primary specialty

NPI Profile & details for LORI EDDY · (Female)

NPI # 1891044103
Status Active
Credentials
Entity Individual
Enumeration date 08/31/2012
Last updated 08/31/2012 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • WI License # 492427
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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