Deanna Marie Croson, COTA
Individual provider Active NPI Occupational Therapy Assistant · Brooklyn, WI
NPI 1679735526 · NPPES record last updated Jul 1, 2008
Key facts
- NPI
- 1679735526
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 1002027 (WI)
- Practice address
- 208 S Rutland St
Brooklyn, WI 53521-9503 - Phone
- (608) 225-8344
- NPI assigned
- Jul 1, 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
| License | State | Type | Specialty |
|---|---|---|---|
| 1002027 | WI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 1002027 | WI | Yes |
Addresses
Primary practice location
208 S Rutland St
Brooklyn, WI 53521-9503
Mailing address
208 S Rutland St
Booklyn, WI 53521
Phone (608) 225-8344
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10020027 | Other | WI | OCCUPATIONAL THERAPY ASSISTANT LICENSE |
| 1730 | Other | CA | COTA LICENSE CERTIFICATE |
| 993744 | Other | WI | NBCOT CRTIFICATION |
Other providers in Brooklyn, WI
- Brooklyn Fire and EMS Protection District
- Keni Lynn Christiansen
- Jacqueline Connell
- Taylor Curran
- Ava Rose David
- Kaitlyn Hanson
- Chad E Hermsdorf
- Mary S Landry
All providers in Brooklyn, 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 1, 2008. 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.