Abigail Anne Brown, COTA
Individual provider Active NPI Occupational Therapy Assistant · Menasha, WI
NPI 1497481998 · NPPES record last updated Jul 27, 2022
Key facts
- NPI
- 1497481998
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 5723 (WI)
- Practice address
- 1700 Midway Rd
Menasha, WI 54952-1230 - Phone
- (920) 739-0111
- NPI assigned
- Jul 27, 2022
- 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 |
|---|---|---|---|
| 5723 | WI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 5723 | WI | Yes |
Addresses
Primary practice location
1700 Midway Rd
Menasha, WI 54952-1230
Mailing address
1700 Midway Rd
Menasha, WI 54952-1230
Phone (920) 739-0111
Other providers in Menasha, WI
- Lisa Bredael
- Rachel L Bresler
- John R Briggs
- Risa Briones
- Lea Ann Britzman
- Janine M Buffo
- Megan J. Burdick-Grade
- Charles J Burgess
- Jennifer L Buss
- Wendi Ann Butkovich
All providers in Menasha, 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 Jul 27, 2022. 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.