Mary J Wollenburg in Juneau - Occupational Therapist
Mary J Wollenburg - NPI 1093806549
Mary J Wollenburg is a Occupational Therapist in Juneau, Wisconsin. Mary J Wollenburg practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Mary J Wollenburg is 1093806549. The last update date is 2007-07-08.
Mary J Wollenburg's current location address is 199 Home Rd, Juneau, Wisconsin. You can contact this provider via phone number 9203863500 and fax number 9203863812. The mailing address for Mary J Wollenburg is 199 Home Rd, Juneau, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mary J Wollenburg |
|---|---|
| Address | 199 Home Rd, Juneau, Wisconsin |
| Phone Number | 9203863500 |
| Fax Number | 9203863812 |
| Sole Proprietor | N |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1093806549 |
|---|---|
| Provider Enumeration Date | 2006-09-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 199 Home Rd |
|---|---|
| City | Juneau |
| State | Wisconsin (WI) |
| Post Code | 530391401 |
| Phone Number | 9203863500 |
| Fax Number | 9203863812 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 476-026 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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What is the unique 10-digit identifier code assigned to Mary J Wollenburg by the Centers for Medicare & Medicaid Services?
The Mary J Wollenburg has been issued the NPI (National Provider Identifier) 1093806549 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Where is the Mary J Wollenburg located?
The Mary J Wollenburg is located at 199 Home Rd, Juneau, WI 530391401.
What is the Mary J Wollenburg's specialty and taxonomy code?
The Mary J Wollenburg's specialty is Occupational Therapist, and the corresponding taxonomy code is 225X00000X.
When did Mary J Wollenburg receive its 1093806549 assignment?
The Mary J Wollenburg was assigned its 1093806549 on 2006-09-28, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Mary J Wollenburg most recently updated or revised?
The information pertaining to Mary J Wollenburg, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC