| Mary T Annen, OTR | |
|
1040 Pilgrim Way, Woodside Lutheran Home, Ashwaubenon, WI 54304 | |
| (920) 405-3522 | |
| (920) 405-3523 |
| Full Name | Mary T Annen |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1040 Pilgrim Way, Ashwaubenon, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720308026 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 713-026 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mary T Annen, OTR 1040 Pilgrim Way, Ashwaubenon, WI 54304 Ph: (920) 405-3522 | Mary T Annen, OTR 1040 Pilgrim Way, Woodside Lutheran Home, Ashwaubenon, WI 54304 Ph: (920) 405-3522 |
Kara J Behm, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1040 Pilgrim Way, Ashwaubenon, WI 54304 Phone: 920-499-1481 | |
Nicole Ann Prokash, MS Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1040 Pilgrim Way, Ashwaubenon, WI 54304 Phone: 920-405-3522 |