Kristen Lanae Wichman, OTR | |
200 E Tyranena Park Rd, Lake Mills, WI 53551-9678 | |
(920) 648-8170 | |
Not Available |
Full Name | Kristen Lanae Wichman |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 200 E Tyranena Park Rd, Lake Mills, Wisconsin |
Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174790810 | NPI | - | NPPES |
41036200 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 3186-026 (Wisconsin) | Primary |
Mailing Address | Practice Location Address |
---|---|
Kristen Lanae Wichman, OTR N7196 Hw Y, Watertown, WI 53094-8502 Ph: (920) 699-5512 | Kristen Lanae Wichman, OTR 200 E Tyranena Park Rd, Lake Mills, WI 53551-9678 Ph: (920) 648-8170 |
Larissa Hampton, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 901 Mulberry St, Lake Mills, WI 53551 Phone: 920-648-8344 | |
Sara Fitch, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 Mulberry St, Lake Mills, WI 53551 Phone: 920-648-3144 | |
Ms. Mindy J Wade, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 E Tyranena Park Rd, Lake Mills, WI 53551 Phone: 920-648-8170 | |
Ms. Marilyn Larson, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 135 E Prospect St, Lake Mills, WI 53551 Phone: 920-648-2338 | |
Eileen M Zeier, OTRL Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 Mulberry St, Lake Mills, WI 53551 Phone: 920-648-8344 Fax: 920-648-3441 | |
Ms. Pamela Sue Speckbrock, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 901 Mulberry St, Lake Mills, WI 53551 Phone: 920-648-8344 |