Healthcare Provider Details

I. General information

NPI: 1548484330
Provider Name (Legal Business Name): LYNN MROZEK OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/12/2007
Last Update Date: 04/17/2026
Certification Date: 04/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

510 PEACH ST
WISCONSIN RAPIDS WI
54494-4663
US

IV. Provider business mailing address

2824 32ND ST N
WISCONSIN RAPIDS WI
54494-1883
US

V. Phone/Fax

Practice location:
  • Phone: 715-424-6700
  • Fax:
Mailing address:
  • Phone: 715-424-6700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number4639-26
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: