Ms Carla Jo Fenna, OTRL is a
Occupational Therapist based in Poplar Grove, Illinois. Ms Carla Jo Fenna is licensed to practice in Illinois (license number ) and her current practice location is
402 Jayde Place, Poplar Grove, Illinois. She can be reached at her office (for appointments etc.) via phone at
(815) 765-2715.
NPI number for Ms Carla Jo Fenna is 1609987395 and her current mailing address is 402 Jayde Place, Poplar Grove, Illinois. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1609987395.
Healthcare Provider's Profile
Full Name | Ms Carla Jo Fenna |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 402 Jayde Place, Poplar Grove, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1609987395
- Provider Enumeration Date: 08/31/2006
- Last Update Date: 07/08/2007
Medical Identifiers
Medical identifiers for Ms Carla Jo Fenna such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1609987395 | NPI | - | NPPES |
CF02520398P | Other | IL | EARLY INTERVENTION |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | (Illinois) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Ms Carla Jo Fenna is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Ms Carla Jo Fenna, OTRL 402 Jayde Place, Poplar Grove, IL 61065-8314 Ph: (815) 765-2715 | Ms Carla Jo Fenna, OTRL 402 Jayde Place, Poplar Grove, IL 61065-8314 Ph: (815) 765-2715 |
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