| Kaitlyn Cornella-carlson, OTR | |
|
17280 W North Ave, Brookfield, WI 53045-4366 | |
| (262) 928-8830 | |
| Not Available |
| Full Name | Kaitlyn Cornella-carlson |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist - Pediatrics |
| Location | 17280 W North Ave, Brookfield, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831821891 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225XP0200X | Occupational Therapist - Pediatrics | 7202-26 (Wisconsin) | Primary |
| Provider Name | Prohealth Medical Group Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1356322440 PECOS PAC ID: 3476465188 Enrollment ID: O20031103000066 |
| Mailing Address | Practice Location Address |
|---|---|
| Kaitlyn Cornella-carlson, OTR 1012 N Bluespruce Cir, Hartland, WI 53029-8681 Ph: (262) 347-8002 | Kaitlyn Cornella-carlson, OTR 17280 W North Ave, Brookfield, WI 53045-4366 Ph: (262) 928-8830 |
Mrs. Kay Lynne Luck, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 17280 W North Ave, #104, Brookfield, WI 53045 Phone: 262-780-0707 Fax: 262-780-0717 | |
Mary Teresa Ortell, OCCUPATIONAL THERAPI Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 18740 W Bluemound Rd, Brookfield, WI 53045 Phone: 262-641-8728 Fax: 262-797-8306 | |
Paige Nicole Splittgerber, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3360 Gateway Rd, Brookfield, WI 53045 Phone: 262-923-7101 | |
Mrs. Kimberly Ann Beckmann, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 17280 W North Ave, # 104, Brookfield, WI 53045 Phone: 262-780-0707 Fax: 262-780-0717 | |
Cindy Van Valin, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 17280 W North Ave, #104, Brookfield, WI 53045 Phone: 262-780-0707 | |
Kenneth Siebels, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 19395 W Capitol Dr Ste 200, Brookfield, WI 53045 Phone: 262-923-7101 | |
Emma Schmidt, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3360 Gateway Rd Ste 100, Brookfield, WI 53045 Phone: 262-923-7101 |