NPI 1003221888

Eric Dybala

Practitioner Occupational Therapy Assistant Appleton, WI

Practice location

Address: 3538 Northridge CT, Appleton, WI 54914-6738
Phone: (920) 220-0844

Registered specialties (2)

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence OTA22019 (NM)

Other Occupational Therapy Assistant providers in Wisconsin →

Occupational Therapy Assistant

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 5068-27 (WI)

Registry record

NPI: 1003221888
Entity type: Individual
Sex (as registered): Male
NPI issued: 30 Jun 2014
Record last updated: 25 Jan 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.