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:
Health care specialties
| Specialty | Code | License # | 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 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1124294574 | NPPES |
| Wisconsin | MEDICAID | 40524200 |
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