Nancy Cope, OTR

Individual provider Active NPI Occupational Therapist · South Range, WI

NPI 1205082575 · NPPES record last updated Jun 22, 2015

Key facts

NPI
1205082575
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
2858-26 (WI)
Practice address
8274 E San Rd
South Range, WI 54874-8621
Phone
(715) 398-3523
Fax
(920) 683-0210
NPI assigned
Aug 18, 2008
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

LicenseStateTypeSpecialty
2858-26WIMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2858-26 WI Yes

Addresses

Primary practice location

8274 E San Rd
South Range, WI 54874-8621

Mailing address

8274 E San Rd
South Range, WI 54874-8621
Phone (715) 398-3523

Other providers in South Range, WI

All providers in South Range, WI · Occupational Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.