Ms Karina Anne Back, OTR/L is a
Occupational Therapist based in Mazomanie, Wisconsin. Ms Karina Anne Back is licensed to practice in Wisconsin (license number 5506) and her current practice location is
710 Lichte Dr, Mazomanie, Wisconsin. She can be reached at her office (for appointments etc.) via phone at
(414) 418-3495.
NPI number for Ms Karina Anne Back is 1194863647 and her current mailing address is 710 Lichte Dr, Mazomanie, Wisconsin. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1194863647.
Healthcare Provider's Profile
Full Name | Ms Karina Anne Back |
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Gender | Female |
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Speciality | Occupational Therapist |
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Location | 710 Lichte Dr, Mazomanie, Wisconsin |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1194863647
- Provider Enumeration Date: 02/04/2007
- Last Update Date: 04/19/2016
Medical Identifiers
Medical identifiers for Ms Karina Anne Back such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1194863647 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
225X00000X | Occupational Therapist | 5506 (Wisconsin) | 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 Karina Anne Back 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 Karina Anne Back, OTR/L 710 Lichte Dr, Mazomanie, WI 53560-9356 Ph: (414) 418-3495 | Ms Karina Anne Back, OTR/L 710 Lichte Dr, Mazomanie, WI 53560-9356 Ph: (414) 418-3495 |
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