Carmella Leggon, O.T.
Individual provider Active NPI Occupational Therapist · Bloomer, WI
NPI 1356714760 · NPPES record last updated Nov 6, 2015
Key facts
- NPI
- 1356714760
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 4269-26 (WI)
- Practice address
- 1731 17TH Ave
Bloomer, WI 54724-1512 - Phone
- (715) 568-4671
- NPI assigned
- Nov 6, 2015
- 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 |
|---|---|---|---|
| 4269-26 | WI | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 4269-26 | WI | Yes |
Addresses
Primary practice location
1731 17TH Ave
Bloomer, WI 54724-1512
Mailing address
1731 17TH Ave
Bloomer, WI 54724-1512
Phone (715) 568-4671
Other providers in Bloomer, WI
- Deborah Lynne Labudde
- Robin Lachance
- Susan Langert
- Paul C Lanzer
- John Larson
- Sandra Sue Leuthe
- Keith Allen Levick
- Robin A Lohse
- Rebecca Jean Matushak
- Mayo Clinic Health System-Northwest Wisconsin Region, Inc.
All providers in Bloomer, 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 Nov 6, 2015. 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.