Mrs Selena Kim Fraki-owen, MSPT | |
1100 Gateway Court, West Bend, WI 53095 | |
(262) 306-6100 | |
(262) 306-6105 |
Full Name | Mrs Selena Kim Fraki-owen |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1100 Gateway Court, West Bend, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558330951 | NPI | - | NPPES |
36133700 | Medicaid | WI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5501011985 (Michigan) | Primary |
Provider Name | Aurora Advanced Healthcare Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1265629133 PECOS PAC ID: 3375625833 Enrollment ID: O20080123000694 |
Mailing Address | Practice Location Address |
---|---|
Mrs Selena Kim Fraki-owen, MSPT 1100 Gateway Court, West Bend, WI 53095 Ph: (262) 306-6100 | Mrs Selena Kim Fraki-owen, MSPT 1100 Gateway Court, West Bend, WI 53095 Ph: (262) 306-6100 |
Amy Mcgraw, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451 | |
Anne M Duba, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1190 E Paradise Dr, West Bend, WI 53095 Phone: 262-306-6319 | |
Joanne Bodien, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5595 County Road Z, West Bend, WI 53095 Phone: 262-306-2103 Fax: 262-306-2100 | |
Dr. Natalie Faith Howell, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1700 W Paradise Dr, West Bend, WI 53095 Phone: 262-334-3451 | |
Betty L Mayer, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5595 County Road Z, West Bend, WI 53095 Phone: 262-306-2100 Fax: 262-306-2128 | |
Jennifer Thill, Physical Therapist Medicare: Medicare Enrolled Practice Location: 5595 County Road Z, West Bend, WI 53095 Phone: 262-306-2691 | |
Debra L Dautermann, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1190 E Paradise Dr, West Bend, WI 53095 Phone: 262-306-6319 |