| Mrs Patricia Fuller, OTR | |
|
504 Lakeland Rd, Shawano, WI 54166-3836 | |
| (715) 526-5547 | |
| Not Available |
| Full Name | Mrs Patricia Fuller |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 504 Lakeland Rd, Shawano, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689848764 | NPI | - | NPPES |
| 40622700 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 2196-026 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Patricia Fuller, OTR 615 S Lincoln St, Shawano, WI 54166-2915 Ph: (715) 524-5094 | Mrs Patricia Fuller, OTR 504 Lakeland Rd, Shawano, WI 54166-3836 Ph: (715) 526-5547 |
Carolyn Anne Flood, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-526-7370 | |
Mrs. Carey Bubolz Grieves, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 N Main St, Shawano, WI 54166 Phone: 715-526-7370 Fax: 715-526-7294 | |
Cynthia Ellen Kirschling, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 116 N Main St, Shawano, WI 54166 Phone: 715-526-7293 Fax: 715-526-7294 | |
Sonya M Jones, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-526-7293 Fax: 715-526-7717 | |
Jenna Kristine Keller, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-526-7370 | |
Fue Xeng Moua, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 116 N Main St, Shawano, WI 54166 Phone: 715-526-7370 Fax: 715-526-7294 | |
Maria Wedig, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 100 County Road B, Shawano, WI 54166 Phone: 715-526-2111 |