Ms Virginia K Bowen, PT | |
402 First Street, Random Lake, WI 53075 | |
(920) 994-9700 | |
(920) 994-4606 |
Full Name | Ms Virginia K Bowen |
---|---|
Gender | Female |
Speciality | Physical Therapist |
Location | 402 First Street, Random Lake, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1790916443 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 3453024 (Wisconsin) | Primary |
Provider Name | Kujawa Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1730707845 PECOS PAC ID: 0143647792 Enrollment ID: O20200828000081 |
Mailing Address | Practice Location Address |
---|---|
Ms Virginia K Bowen, PT 5242 Millshire Rd, Greendale, WI 53129-1242 Ph: (414) 421-8014 | Ms Virginia K Bowen, PT 402 First Street, Random Lake, WI 53075 Ph: (920) 994-9700 |
Richard Polk, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: N546 Schroeter Dr, Random Lake, WI 53075 Phone: 920-207-3550 Fax: 920-994-4606 | |
Pt Connections Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 233 Carroll St, Random Lake, WI 53075 Phone: 920-994-4515 Fax: 920-994-4583 | |
Mrs. Marlena Elizabeth Salazar, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N546 Schroeter Dr, Random Lake, WI 53075 Phone: 920-207-3550 Fax: 920-994-8466 | |
Abby Lynn Risse, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 402 1st St, Random Lake, WI 53075 Phone: 920-994-9700 Fax: 920-994-4606 | |
Mrs. Julie M. Schmitt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: N546 Schroeter Dr, Random Lake, WI 53075 Phone: 920-994-9700 | |
Michelle M Grace-jensen, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 233 Carroll St, Random Lake, WI 53075 Phone: 920-912-0058 |