Derksen, Meagan Marie

Derksen, Meagan Marie is an individual health care provider with primary practice located at 2131 S Business Dr , Sheboygan WI 53081-5656. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Derksen, Meagan Marie can be contacted via phone (920) 803-1617.

Contact Information

Primary practice address
2131 S Business Dr Sheboygan WI 53081-5656
Phone: (920) 803-1617
Fax: (920) 803-1622
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 4965-27 Wisconsin

Profile Details

NPI number 1902224330
LBN Legal business name Derksen, Meagan Marie
Credentials COTA/L
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2014
Last updated Apr 2nd, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1902224330 NPPES
Wisconsin Other 4965-27 LICENSE

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