| Nicole Ann Prokash, MS | |
|
1040 Pilgrim Way, Ashwaubenon, WI 54304-5028 | |
| (920) 405-3522 | |
| Not Available |
| Full Name | Nicole Ann Prokash |
|---|---|
| Gender | Female |
| Speciality | Occupational Therapist |
| Location | 1040 Pilgrim Way, Ashwaubenon, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790088672 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 4928-026 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Nicole Ann Prokash, MS 543 Hill Rd, Greenleaf, WI 54126-9632 Ph: (920) 205-9757 | Nicole Ann Prokash, MS 1040 Pilgrim Way, Ashwaubenon, WI 54304-5028 Ph: (920) 405-3522 |
Mary T. Annen, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1040 Pilgrim Way, Woodside Lutheran Home, Ashwaubenon, WI 54304 Phone: 920-405-3522 Fax: 920-405-3523 | |
Kara J Behm, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1040 Pilgrim Way, Ashwaubenon, WI 54304 Phone: 920-499-1481 |