Larissa Hampton, | |
901 Mulberry St, Lake Mills, WI 53551-1335 | |
(920) 648-8344 | |
Not Available |
Full Name | Larissa Hampton |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 901 Mulberry St, Lake Mills, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1093130064 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 5445-26 (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 |
---|---|
Larissa Hampton, 901 Mulberry St, Lake Mills, WI 53551-1335 Ph: (920) 648-8344 | Larissa Hampton, 901 Mulberry St, Lake Mills, WI 53551-1335 Ph: (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 | |
Kristen Lanae Wichman, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 E Tyranena Park Rd, Lake Mills, WI 53551 Phone: 920-648-8170 | |
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 |