Doreen Kay Eicher, OT

Individual provider Active NPI Occupational Therapist · Juneau, WI

NPI 1013220375 · NPPES record last updated Jul 15, 2010

Key facts

NPI
1013220375
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
3319-26 (WI)
Practice address
199 Home Rd.
Juneau, WI 53039
Phone
(920) 386-3548
Fax
(920) 386-9721
NPI assigned
Jul 15, 2010
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
3319-26WIMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3319-26 WI Yes

Addresses

Primary practice location

199 Home Rd.
Juneau, WI 53039

Mailing address

106 South Holmen Drive
Suite 2
Holmen, WI 54636
Phone (608) 347-0574

Other providers in Juneau, WI

All providers in Juneau, WI · Occupational Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.