Good Shepherd Home, Ltd

NPI #1114995164 in Seymour, Wisconsin

Provider Information

NPI Number: 1114995164
Entity Type: Organization
Organization Name: Good Shepherd Home, Ltd
Primary Specialty: Occupational Therapist
Enumeration Date: Mar 8, 2006
Last Updated: Jan 12, 2012

Practice Location

Address: 958 FOOTE STREET
City: Seymour
State: Wisconsin
ZIP Code: 54165
Phone: (920) 833-7796

Authorized Official

Name: DEBORAH A CAPTAIN, RN NHA
Title: EXECUTIVE DIRECTOR
Phone: (920) 833-6856

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Speech-Language Pathologist	235Z00000X
Occupational Therapist	225X00000X	Primary

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