Morgen Kleiman

Individual provider Active NPI Occupational Therapist · Algoma, WI

NPI 1235614041 · NPPES record last updated Sep 27, 2018

Key facts

NPI
1235614041
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
11629 (NC)
Practice address
N6566 County Road D
Algoma, WI 54201-9760
Phone
(920) 255-5689
NPI assigned
Sep 27, 2018
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
11629NCMDOccupational Therapist
0119007608VAMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 0119007608 VA
Occupational Therapist 225X00000X 11629 NC Yes

Addresses

Primary practice location

N6566 County Road D
Algoma, WI 54201-9760

Mailing address

N6566 County Road D
Algoma, WI 54201-9760

Other providers in Algoma, WI

All providers in Algoma, WI · Occupational Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.