Dorn, Alita

Dorn, Alita is an individual health care provider with primary practice located at 3200 E Racine St , Janesville WI 53546-2343. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Dorn, Alita can be contacted via phone (608) 371-8000.

Contact Information

Primary practice address
3200 E Racine St Janesville WI 53546-2343
Phone: (608) 371-8000
Fax: (608) 371-8904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 1342026 Wisconsin

Profile Details

NPI number 1083765796
LBN Legal business name Dorn, Alita
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2007
Last updated Oct 30th, 2023 - about 2 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 1083765796 NPPES
Wisconsin MEDICAID 1083765796

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