| Kennedy Lake, | |
|
13250 Washington Ave, Mount Pleasant, WI 53177-1516 | |
| (262) 799-8330 | |
| Not Available |
| Full Name | Kennedy Lake |
|---|---|
| Gender | Facility |
| Speciality | Occupational Therapist |
| Location | 13250 Washington Ave, Mount Pleasant, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. It may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679435408 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Kennedy Lake, 2704 N Prospect Ave, Milwaukee, WI 53211-3768 Ph: () - | Kennedy Lake, 13250 Washington Ave, Mount Pleasant, WI 53177-1516 Ph: (262) 799-8330 |
Ruth Chiapetta Kulbacki, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2944 Salem Cir, Mount Pleasant, WI 53406 Phone: 262-633-4706 Fax: 262-633-4706 | |
Miss Marisa Capobianco, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1320 S Green Bay Rd # 3700, Mount Pleasant, WI 53406 Phone: 262-886-3431 | |
Jennifer L Barbian, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7300 Washington Ave, Ste B, Mount Pleasant, WI 53406 Phone: 262-321-6000 | |
Mrs. Deanna Marie Carr, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6233 Durand Ave Ste 102-3, Mount Pleasant, WI 53406 Phone: 262-497-7270 Fax: 262-456-2387 | |
Zola Sloth, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13203 Globe Dr Ste 111, Mount Pleasant, WI 53177 Phone: 262-287-0090 | |
Payal Patel, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4930 Saint Regis Dr, Mount Pleasant, WI 53403 Phone: 262-994-2618 | |
Tory Gabrielle Houdek, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13203 Globe Dr Ste 111, Mount Pleasant, WI 53177 Phone: 262-287-0090 |