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Contact Information

CONTINENCE & PELVIC WELLNESS CLINIC SC
1516 W MEQUON RD
SUITE 102
MEQUON, WI53092
 Phone: 262-240-1202
 Fax: 262-240-1205
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for CONTINENCE PELVIC WELLNESS CLINIC SC · (Female)

NPI # 1104848183
Status Active
Credentials
Entity Individual
Enumeration date 07/25/2006
Last updated 01/28/2014 - About 12 years ago
Sole proprietor 1 Not specified
Identifiers
  • WI Medicaid 41012700
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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