| Alexander R Hendrickson, OT | |
|
W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 | |
| (608) 252-2000 | |
| Not Available |
| Full Name | Alexander R Hendrickson |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | W129n7055 Northfield Dr, Menomonee Falls, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073243119 | NPI | - | NPPES |
| 1073243119 | Medicaid | WI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 8002-26 (Wisconsin) | Secondary |
| 225X00000X | Occupational Therapist | 8041-26 (Wisconsin) | Primary |
| Provider Name | Froedtert &the Medical College Of Wisconsin Community Physicians Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1568787448 PECOS PAC ID: 3678760063 Enrollment ID: O20101210000699 |
| Mailing Address | Practice Location Address |
|---|---|
| Alexander R Hendrickson, OT W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 Ph: () - | Alexander R Hendrickson, OT W129n7055 Northfield Dr, Menomonee Falls, WI 53051-0538 Ph: (608) 252-2000 |
Mrs. Emily Anne Conger, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N84w17049 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-255-1180 Fax: 262-255-2503 | |
Kelly Jo Ketterhagen, MSOTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: N84w17049 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-255-7050 | |
Lauren Marie Boldt, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: N84w17049 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-255-1180 Fax: 262-255-1638 | |
Mrs. Mary Jane Kaczmarek, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N84w17049 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-255-7050 Fax: 262-255-7834 | |
Katelyn Harmon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N91w15750 Falls Pkwy, Menomonee Falls, WI 53051 Phone: 262-532-1100 | |
Ms. Jamie L Mitchell, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N91w15750 Falls Pkwy, Menomonee Falls, WI 53051 Phone: 262-532-1100 Fax: 262-532-1409 |