| Hunter Goodwin, | |
|
3077 N Mayfair Rd, Wauwatosa, WI 53222-4305 | |
| (414) 455-5797 | |
| (414) 448-6327 |
| Full Name | Hunter Goodwin |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 3077 N Mayfair Rd, Wauwatosa, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578387593 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 8740-26 (Wisconsin) | Primary |
| Provider Name | Athletico Ltd |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1821085028 PECOS PAC ID: 4789602681 Enrollment ID: O20100913000433 |
| Mailing Address | Practice Location Address |
|---|---|
| Hunter Goodwin, 2122 York Rd Ste 300, Oak Brook, IL 60523-1925 Ph: (570) 550-0168 | Hunter Goodwin, 3077 N Mayfair Rd, Wauwatosa, WI 53222-4305 Ph: (414) 455-5797 |
Mr. Christopher Jay Shickles, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 900 N 92nd St, Wauwatosa, WI 53226 Phone: 414-805-2844 | |
Sandra Lynne Johnston, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 N Mayfair Rd, Wauwatosa, WI 53226 Phone: 414-259-7275 | |
Julianne Griep Ditscheit, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2371 N 90th St, Wauwatosa, WI 53226 Phone: 414-258-7705 | |
Lisa R Knoblauch, MOTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4545 N 92nd St, Wauwatosa, WI 53225 Phone: 414-847-3098 | |
Sandra Ann Painter, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 N Mayfair Rd, Wauwatosa, WI 53226 Phone: 414-259-7275 Fax: 414-259-7515 | |
Ms. Bekki Lynn Schnoll, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10101 W Wisconsin Ave, Wauwatosa, WI 53226 Phone: 414-258-1814 | |
Rachel L Prakash, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 3077 N Mayfair Rd Ste 105, Wauwatosa, WI 53222 Phone: 414-455-5797 |