Fecteau, Judith Lynn

Fecteau, Judith Lynn is an individual health care provider with primary practice located at 9449 W Forest Home Ave Hales Corners Care Center Rehab Dept., Hales Corners WI 53130-1611. 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. Fecteau, Judith Lynn can be contacted via phone (414) 529-1271.

Contact Information

Primary practice address
9449 W Forest Home Ave Hales Corners Care Center Rehab Dept. Hales Corners WI 53130-1611
Phone: (414) 529-1271
Fax: (414) 529-1271
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 861026 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 861-26 Wisconsin

Profile Details

NPI number 1124294574
LBN Legal business name Fecteau, Judith Lynn
Credentials Occupational Therapist (OT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2008
Last updated Mar 6th, 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 1124294574 NPPES
Wisconsin MEDICAID 40524200

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