Roberts, Ann Catherine

Roberts, Ann Catherine is an individual health care provider with primary practice located at 115 E Arndt St , Fond Du Lac WI 54935-2461. 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. Roberts, Ann Catherine can be contacted via phone (920) 923-7054.

Contact Information

Primary practice address
115 E Arndt St Fond Du Lac WI 54935-2461
Phone: (920) 923-7054
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 553-027 Wisconsin

Profile Details

NPI number 1164672606
LBN Legal business name Roberts, Ann Catherine
Credentials Certified Occupational Therapy Assistant (COTA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 21st, 2008
Last updated Sep 21st, 2008 - about 16 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 1164672606 NPPES
Wisconsin MEDICAID 40731900

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