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NPI Code Detail

MEDICARE: MISS LINDSAY MARIE REDEKER OT

MEDICARE: MISS LINDSAY MARIE REDEKER OT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist4675-026WI

General Provider Information

NPI Number : 1306081005
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LINDSAY MARIE REDEKER OT
Provider Business Mailing Address
First Line : N59W24070 CLOVER DR APT 150
Second Line :
City : SUSSEX
State : WI
Zip : 53089-4613
Country : US
Telephone Number : 920-948-7958
Fax Number : 262-821-3944
Provider Business Practice Location Address
First Line : 1755 N BARKER RD
Second Line :
City : BROOKFIELD
State : WI
Zip : 53045-1801
Country : US
Telephone Number : 262-821-3939
Fax Number : 262-821-3944
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/09/2008
Last Update Date : 04/08/2026

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