Theresa Anderson, OTR
Individual provider Active NPI Occupational Therapist · Kenosha, WI
NPI 1275870784 · NPPES record last updated Jan 4, 2013
Key facts
- NPI
- 1275870784
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 5234-26 (WI)
- Practice address
- 8633 32ND Ave
Kenosha, WI 53142-5187 - Phone
- (262) 694-8800
- Fax
- (262) 694-9125
- NPI assigned
- Jan 4, 2013
- 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)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5234-26 | WI | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5234-26 | WI | Yes |
Addresses
Primary practice location
8633 32ND Ave
Kenosha, WI 53142-5187
Mailing address
8633 32ND Ave
Kenosha, WI 53142-5187
Phone (262) 694-8800
Other providers in Kenosha, WI
- Amy B Anderson
- Avia Anderson
- Hannah Anderson
- Lindsay Anderson
- Shelby L Anderson
- Auburn Lea Andes
- Mary Andrea Kishline
- Bruce Frank Andrekus
- Wayne J Andreucci
- Barbara Sabrina Andrews
All providers in Kenosha, 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 Jan 4, 2013. 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.