Individual provider · Type 1 NPI

Jacob E. Lanzendorf, OT

Occupational Therapist · Green Bay, WI

NPI number 1972157840 Active

Practice location

1970 S Ridge Rd
Green Bay, WI 54304-4125

Call (920) 430-4888 Map

Fax (920) 430-4889

Mailing address

PO Box 22487
Green Bay, WI 54305-2487

Other practice locations

  • 820 Arbutus Ave, Oconto, WI 54153-2004 · (920) 835-1100
  • 2820 Roosevelt Rd, Marinette, WI 54143-3834 · (715) 735-5225
  • 3263 Eaton Rd, Green Bay, WI 54311-6830 · (920) 433-6700
  • 744 S Webster Ave, Green Bay, WI 54301-3505 · (920) 433-7822

Specialties and licenses

TaxonomyCodeLicense
Occupational Therapist Primary 225X00000X6589-26 (WI)

Occupational Therapist: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork…

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About NPI 1972157840

Jacob E. Lanzendorf, OT's National Provider Identifier is 1972157840, issued on Jul 30, 2019. The primary taxonomy on file is Occupational Therapist (225X00000X), and the practice location is in Green Bay, WI. The record was last updated on Nov 2, 2022.