Sarah Latendresse, | |
W156n9000 Pilgrim Rd # I, Menomonee Falls, WI 53051-2272 | |
(262) 502-8752 | |
Not Available |
Full Name | Sarah Latendresse |
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Gender | Female |
Speciality | Occupational Therapist |
Location | W156n9000 Pilgrim Rd # I, Menomonee Falls, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1740795707 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225X00000X | Occupational Therapist | 6037-26 (Wisconsin) | Primary |
Provider Name | Fox Rehabilitation Services Wi Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1518483973 PECOS PAC ID: 1658647581 Enrollment ID: O20171020002309 |
Mailing Address | Practice Location Address |
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Sarah Latendresse, 8810 W Dallas St, Milwaukee, WI 53224-4811 Ph: () - | Sarah Latendresse, W156n9000 Pilgrim Rd # I, Menomonee Falls, WI 53051-2272 Ph: (262) 502-8752 |
Mrs. Emily Anne Conger, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N84w17049 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-255-1180 Fax: 262-255-2503 | |
Kelly Jo Ketterhagen, MSOTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: N84w17049 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-255-7050 | |
Lauren Marie Boldt, OTR Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: N84w17049 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-255-1180 Fax: 262-255-1638 | |
Alexander R Hendrickson, O.T. Occupational Therapist Medicare: Medicare Enrolled Practice Location: W129n7055 Northfield Dr, Menomonee Falls, WI 53051 Phone: 608-252-2000 | |
Mrs. Mary Jane Kaczmarek, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N84w17049 Menomonee Ave, Menomonee Falls, WI 53051 Phone: 262-255-7050 Fax: 262-255-7834 | |
Katelyn Harmon, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N91w15750 Falls Pkwy, Menomonee Falls, WI 53051 Phone: 262-532-1100 | |
Ms. Jamie L Mitchell, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: N91w15750 Falls Pkwy, Menomonee Falls, WI 53051 Phone: 262-532-1100 Fax: 262-532-1409 |