Mrs. Summer Lyse Ennis
Mrs. Summer Lyse Ennis is an Occupational Therapist in Madison, Wisconsin. Practices as a sole proprietor. Licensed in Wisconsin.
- Licensed in
- WI
- In the registry since
- 2008
Practice location Address checks out
600 Highland Ave Compliance Mail Code 2433Madison, WI 53792-0001
Phone: (608) 662-0817
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 4624 (WI) |
|---|
Record details
| NPI number | 1407026313 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | March 6, 2008 |
| Last updated in NPPES | March 6, 2008 |
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