| Connor Patrick O'keefe, | |
|
W235n6350 Hickory Dr, Sussex, WI 53089-1152 | |
| (262) 932-2800 | |
| Not Available |
| Full Name | Connor Patrick O'keefe |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | W235n6350 Hickory Dr, Sussex, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174396824 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 8432-26 (Wisconsin) | Primary |
| Provider Name | Sundance Rehabilitation Llc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1073912119 PECOS PAC ID: 7911815329 Enrollment ID: O20140917001161 |
| Mailing Address | Practice Location Address |
|---|---|
| Connor Patrick O'keefe, 3970 Oregon St Unit 5, Oshkosh, WI 54902-7137 Ph: (920) 527-1642 | Connor Patrick O'keefe, W235n6350 Hickory Dr, Sussex, WI 53089-1152 Ph: (262) 932-2800 |
Patrice Marie Breitbach, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N58w24240 Clover Dr, Sussex, WI 53089 Phone: 262-894-1212 | |
Ashley Sullivan I, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N58w24552 Raven Ct, Sussex, WI 53089 Phone: 262-893-9509 | |
Mrs. Susan Passow, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N73w22097 Valley View Rd, Sussex, WI 53089 Phone: 262-246-8287 |