Angela R. Adler, OTR
Individual provider Active NPI Occupational Therapist · Johnson Creek, WI
NPI 1114064532 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1114064532
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 3046-026 (WI)
- Practice address
- 400 Doctors CT
Johnson Creek, WI 53038-9567 - Phone
- (920) 699-4245
- NPI assigned
- Feb 1, 2007
- 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)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3046-026 | WI | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 3046-026 | WI | Yes |
Addresses
Primary practice location
400 Doctors CT
Johnson Creek, WI 53038-9567
Mailing address
400 Doctors CT
Johnson Creek, WI 53038-9567
Phone (920) 699-4245
Other providers in Johnson Creek, WI
- Spencer Agnew
- Benjamin Joseph Altmann
- Carrie Anne Beck
- Jamie Leann Blakeley
- Bubon & Associates, Orthodontics, SC
All providers in Johnson Creek, WI · Occupational Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.