West Bend Clinic, Inc.
Organization Active NPI Occupational Therapist · Jackson, WI
NPI 1124328232 · NPPES record last updated Oct 25, 2010
Key facts
- NPI
- 1124328232
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Occupational Therapist 225X00000X
- Legal business name
- WEST BEND CLINIC, INC.
- Practice address
- W227 N16857 Tillie Lake Court
Jackson, WI 53037-9000 - Phone
- (262) 365-6170
- NPI assigned
- Oct 25, 2010
- Organization subpart
- No
Authorized official
- Name
- James Browne
- Title
- Administrator
- Phone
- (262) 306-6536
Practitioners 4
-
Jessica K Tischler, MSN-CNM
-
Brian Roland Wolter, M.D.
National Provider Directory
Locations
402 W Sumner St
Hartford, WI 53027
Phone (262) 670-4824
1701 Fond du Lac Ave
Kewaskum, WI 53040
Phone (262) 626-4616
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | |||
| Occupational Therapist |
225X00000X | Yes |
Addresses
Primary practice location
W227 N16857 Tillie Lake Court
Jackson, WI 53037-9000
Mailing address
1700 W Paradise Dr
West Bend, WI 53095
Phone (262) 334-3451
Other names
- Froedtert Health Rehabilitation and Sports Medicine Center
Other providers in Jackson, WI
- Village of Jackson
- Paulet J. Voigt
- Walgreen Co
- Julie Kay Waln
- West Bend Clinic
- Heidi Lynette Wildauer
- Annastasia Louis Wischki
- Wisconsin Lutheran Child & Family Service
- Diane M Witek
- Ashley Wittmann
All providers in Jackson, 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 Oct 25, 2010. 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.