SUMMER LYSE ENNIS

MADISON, WI
NPI1407026313
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WI  4624)
Enumeration Date2008-03-06
Last Update Date2008-03-06
Business Address
Mrs. SUMMER LYSE ENNIS
600 HIGHLAND AVE COMPLIANCE MAIL CODE 2433
MADISON, WI 53792-0001
Phone number: 608-662-0817
Mailing Address
Mrs. SUMMER LYSE ENNIS
600 HIGHLAND AVE COMPLIANCE MAIL CODE 2433
MADISON, WI 53792-0001
Phone number: 608-662-0817
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