Peggy Lynn Brokl, OTR | |
1405 Mill St, New London, WI 54961-2155 | |
(920) 531-2000 | |
(920) 531-2098 |
Full Name | Peggy Lynn Brokl |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 1405 Mill St, New London, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740476696 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 3929-26 (Wisconsin) | Primary |
Provider Name | The Neuroscience Group Of Northeast Wisconsin Sc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1578516803 PECOS PAC ID: 6204740186 Enrollment ID: O20031114000506 |
Mailing Address | Practice Location Address |
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Peggy Lynn Brokl, OTR Po Box 2759, Appleton, WI 54912-2759 Ph: (920) 830-5900 | Peggy Lynn Brokl, OTR 1405 Mill St, New London, WI 54961-2155 Ph: (920) 531-2000 |
Christina Quaintance, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: E8314 State Road 54, New London, WI 54961 Phone: 920-470-0340 | |
Ms. Emily Gough Henry, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: E7475 Rawhide Rd, New London, WI 54961 Phone: 920-538-1424 | |
Mrs. Linda May Collins, MS, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 307 Smith St, New London, WI 54961 Phone: 920-982-5440 Fax: 920-982-0444 | |
Rachel Lohff, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 107 E Beckert Rd, New London, WI 54961 Phone: 920-982-5354 | |
Mrs. Rebecca Parker, MS,OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N2220 Bean City Road, New London, WI 54961 Phone: 920-982-1464 | |
Mrs. Trina Marie Wurster, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2000 Fax: 920-531-2098 | |
Debbra Lynn Goodman, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1405 Mill St, New London, WI 54961 Phone: 920-531-2000 Fax: 920-531-2098 |