Tanya Schonasky, COTA

Individual provider Active NPI Occupational Therapy Assistant · Montello, WI

NPI 1730452210 · NPPES record last updated Oct 5, 2020

Key facts

NPI
1730452210
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
4842-027 (WI)
Practice address
251 Forest LN
Montello, WI 53949-9380
Phone
(608) 297-2153
NPI assigned
Feb 14, 2012
Sex
Female
Sole proprietor
Yes

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
4842-027WIMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 4842-027 WI Yes

Addresses

Primary practice location

251 Forest LN
Montello, WI 53949-9380

Mailing address

W1058 Hollnagel Rd
Randolph, WI 53956-9449
Phone (262) 716-4383

Other providers in Montello, WI

All providers in Montello, WI · Occupational Therapy Assistant in Wisconsin

Sources for this page

Verify at the official NPI Registry.