Eric Dybala
Eric Dybala is an Occupational Therapy Assistant in Appleton, Wisconsin. Licensed in New Mexico and Wisconsin. Registered with an NPI since 2014.
- Licensed in
- NM, WI
- In the registry since
- 2014
- Specialties on file
- 2
Practice location Address checks out
3538 Northridge CtAppleton, WI 54914-6738
Phone: (920) 220-0844
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapy Assistant (primary) | Taxonomy 224Z00000X · Licence OTA22019 (NM) |
|---|---|
| Occupational Therapy Assistant | Taxonomy 224Z00000X · Licence 5068-27 (WI) |
Record details
| NPI number | 1003221888 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | June 30, 2014 |
| Last updated in NPPES | January 25, 2023 |
| Certification date | January 25, 2023 |
| Mailing address | 3538 Northridge Ct, Appleton, WI 54914-6738 |
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