Ms Julie A Poulin Siefert, PT | |
1593 Oakridge Rd, Neenah, WI 54956-2108 | |
(920) 720-0701 | |
Not Available |
Full Name | Ms Julie A Poulin Siefert |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 1593 Oakridge Rd, Neenah, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1245403062 | NPI | - | NPPES |
40273200 | Medicaid | WI | |
265-039 | Other | WI | ATHLETIC TRAINER LICENSE |
L1181510 | Other | MI | PHYSICAL THERAPY LICENSE |
5038-024 | Other | WI | PHYSICAL THERAPIST LICENS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 5038-024 (Wisconsin) | Primary |
Provider Name | Advanced Physical Therapy & Sports Medicine Sc |
---|---|
Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1407857790 PECOS PAC ID: 2365432903 Enrollment ID: O20040514001027 |
Provider Name | Pt Associates Of Portage County Inc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1982779955 PECOS PAC ID: 8820079239 Enrollment ID: O20140825002694 |
Mailing Address | Practice Location Address |
---|---|
Ms Julie A Poulin Siefert, PT 1593 Oakridge Rd, Neenah, WI 54956-2108 Ph: (920) 720-0701 | Ms Julie A Poulin Siefert, PT 1593 Oakridge Rd, Neenah, WI 54956-2108 Ph: (920) 720-0701 |
Elizabeth Bonson, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-729-2155 | |
Miss Maria T Joseph, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1305 W American Dr, Neenah, WI 54956 Phone: 920-725-9373 | |
Christopher T Hupf, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 145 N Commercial St, Neenah, WI 54956 Phone: 920-215-6225 Fax: 920-215-3947 | |
Sarah M Martin, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-454-2973 Fax: 920-720-7350 | |
Rebecca A Van Heuklon, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1305 W American Dr, Neenah, WI 54956 Phone: 920-729-7665 | |
Mrs. Marni Jeanne Vankeulen, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 1516 S Commercial St, Neenah, WI 54956 Phone: 920-729-3350 Fax: 920-720-7276 | |
Alyssa Ann Rotzenberg, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 130 2nd St, Neenah, WI 54956 Phone: 920-729-3100 |