Erin S. Konichek, COTA
Individual provider Active NPI Occupational Therapy Assistant · Ladysmith, WI
NPI 1194069831 · NPPES record last updated Nov 19, 2012
Key facts
- NPI
- 1194069831
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 4836-027 (WI)
- Practice address
- 900 College Ave W
Ladysmith, WI 54848-2116 - Phone
- (715) 532-5561
- Fax
- (715) 532-5146
- NPI assigned
- Nov 19, 2012
- 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 |
|---|---|---|---|
| 4836-027 | WI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 4836-027 | WI | Yes |
Addresses
Primary practice location
900 College Ave W
Ladysmith, WI 54848-2116
Mailing address
900 College Ave W
Ladysmith, WI 54848-2116
Phone (715) 532-5561
Other providers in Ladysmith, WI
- Key Care Inc
- Kinbridge Rehabilitation Services LLC
- Katelyn Kleutsch
- Ashley Marie Klinner
- Becky Jean Komro
- Kendra Kopecky
- Michelle Marie Krell
- Carol Krupa
- Ladysmith Adult Day Services
- Ladysmith Foods Inc.
All providers in Ladysmith, WI · Occupational Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 19, 2012. 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.