| Applied Therapies & Wellness Center, S.c. | |
|
150 N. Sunnyslope Rd. Ste 372 Brookfield WI 53005-4806 | |
| (414) 302-1233 | |
| (262) 788-9662 |
| Full Name | Applied Therapies & Wellness Center, S.c. |
|---|---|
| Speciality | Clinic/Center |
| Location | 150 N. Sunnyslope Rd. Ste 372, Brookfield, Wisconsin |
| Authorized Official Name and Position | Trisha Wollin (OWNER/REGISTERED AGENT) |
| Authorized Official Contact | 4143021233 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Applied Therapies & Wellness Center, S.c. 150 N. Sunnyslope Rd. Ste 372 Brookfield WI 53005-4806 Ph: (414) 302-1233 | Applied Therapies & Wellness Center, S.c. 150 N. Sunnyslope Rd. Ste 372 Brookfield WI 53005-4806 Ph: (414) 302-1233 |
| NPI Number | 1356569115 |
|---|---|
| Provider Enumeration Date | 04/24/2007 |
| Last Update Date | 03/20/2024 |
| Medicare PECOS PAC ID | 4880877604 |
|---|---|
| Medicare Enrollment ID | O20110331000401 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356569115 | NPI | - | NPPES |
| 1356569115 | Medicaid | WI |
| Provider Name | Trisha Wollin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306938527 PECOS PAC ID: 1951584770 Enrollment ID: I20181008000129 |
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