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1962161331
SANDRA LYNN MODAHL
MILWAUKEE, WI
NPI
1962161331
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: WI 1086)
Enumeration Date
2021-12-14
Last Update Date
2021-12-14
Business Address
Dr. SANDRA LYNN MODAHL
1000 N 92ND ST
MILWAUKEE, WI 53226-3533
Phone number: 414-479-9233
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Mailing Address
Dr. SANDRA LYNN MODAHL
1245 SPINNAKER DR
PORT WASHINGTON, WI 53074-1389
Phone number: 414-640-9646
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