| Ms Carina Lea Hafner, OT | |
| 
					3301 Cranberry Blvd, Weston, WI 54476-5216  | |
| (715) 393-3990 | |
| (715) 393-3902 | 
| Full Name | Ms Carina Lea Hafner | 
|---|---|
| Gender | Female | 
| Speciality | Occupational Therapist | 
| Location | 3301 Cranberry Blvd, Weston, Wisconsin | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1407284417 | NPI | - | NPPES | 
| 5301-26 | Other | WI | WI STATE LICENSE | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 225X00000X | Occupational Therapist | 5301-26 (Wisconsin) | Primary | 
| Provider Name | Langlade Hospital - Hotel Dieu Of St Joseph Of Antigo Wisconsin | 
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice | 
| Provider Identifiers | NPI Number: 1831251040 PECOS PAC ID: 1557271202 Enrollment ID: O20040212000310  | 
| Mailing Address | Practice Location Address | 
|---|---|
| Ms Carina Lea Hafner, OT 3301 Cranberry Blvd, Weston, WI 54476-5216 Ph: (715) 393-3990  | Ms Carina Lea Hafner, OT 3301 Cranberry Blvd, Weston, WI 54476-5216 Ph: (715) 393-3990  | 
Ms. Madison Baily Brummond,  Occupational Therapist Medicare: Medicare Enrolled Practice Location: 7805 Birch St, Weston, WI 54476 Phone: 715-298-3833  | |
Mrs. Melanie A Damask, OTA Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4605 Valdres Springs Court, Weston, WI 54476 Phone: 715-393-0419  | |
Sally K Powell, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3402 Howland Ave, Suite 100, Weston, WI 54476 Phone: 715-355-5701  | |
Mrs. Kathy Marie Parde, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6002 S Gordon St, Weston, WI 54476 Phone: 715-355-8338  | |
Andrew J Weizenicker, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3301 Cranberry Blvd, Weston, WI 54476 Phone: 715-393-3990  | |
Jennifer Stieber,  Occupational Therapist Medicare: Medicare Enrolled Practice Location: 3402 Howland Ave # 100, Weston, WI 54476 Phone: 715-355-5701  |