Kimberly L Mano, | |
8633 32nd Ave, Kenosha, WI 53142-5187 | |
(262) 694-8800 | |
Not Available |
Full Name | Kimberly L Mano |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 8633 32nd Ave, Kenosha, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1902028814 | NPI | - | NPPES |
40766900 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 2480-026 (Wisconsin) | Primary |
Provider Name | Paxxon Healthcare Services Llc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1003174087 PECOS PAC ID: 8325959554 Enrollment ID: O20130917000750 |
Mailing Address | Practice Location Address |
---|---|
Kimberly L Mano, 3512 Elwood Dr, Racine, WI 53406-5224 Ph: () - | Kimberly L Mano, 8633 32nd Ave, Kenosha, WI 53142-5187 Ph: (262) 694-8800 |
Rachel Giese, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 7610 Pershing Blvd, Kenosha, WI 53142 Phone: 262-948-3600 | |
Richa Kamble, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5060 Green Bay Rd, Kenosha, WI 53144 Phone: 262-825-0912 | |
Lacy Nowicki, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 10222 74th St Ste 211, Kenosha, WI 53142 Phone: 262-925-5020 | |
Ana Jones, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1406 91st St Apt 103, Kenosha, WI 53143 Phone: 262-331-3414 | |
Ms. Jane E Meyers, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4103 60th St, Kenosha, WI 53144 Phone: 262-652-1111 Fax: 262-652-1124 | |
Mrs. Silvana K Leone, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 6308 8th Ave, Kenosha, WI 53143 Phone: 262-656-3299 | |
Ellen Fey, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 7610 Pershing Blvd, Kenosha, WI 53142 Phone: 262-948-3600 |