LORI JO BANSEMER

BURLINGTON, WI
NPI1619169265
Former NameLORI JO HEINZEN
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WI  1389-026)
Enumeration Date2007-08-16
Last Update Date2016-10-31
Business Address
Mrs. LORI JO BANSEMER MS.OTR,CHT
709 SPRING VALLEY RD
BURLINGTON, WI 53105-3622
Phone number: 262-971-9314
Mailing Address
Mrs. LORI JO BANSEMER MS.OTR,CHT
709 SPRING VALLEY RD
BURLINGTON, WI 53105-7614
Phone number: 262-971-9314