| Ms Carla Jo Fenna, OTRL | |
|
402 Jayde Place, Poplar Grove, IL 61065-8314 | |
| (815) 765-2715 | |
| (815) 765-2715 |
| Full Name | Ms Carla Jo Fenna |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 402 Jayde Place, Poplar Grove, Illinois |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609987395 | NPI | - | NPPES |
| CF02520398P | Other | IL | EARLY INTERVENTION |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | (Illinois) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Ms Carla Jo Fenna, OTRL 402 Jayde Place, Poplar Grove, IL 61065-8314 Ph: (815) 765-2715 | Ms Carla Jo Fenna, OTRL 402 Jayde Place, Poplar Grove, IL 61065-8314 Ph: (815) 765-2715 |
Bravehearts At The Bergmann Center Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4950 Il Route 173, Poplar Grove, IL 61065 Phone: 815-765-2113 Fax: 815-943-8426 | |
Amber Suarez-christensen, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4950 Il-173, Poplar Grove, IL 61065 Phone: 773-808-4740 |