West Bend Clinic, Inc.

NPI #1124328232 in Jackson, Wisconsin

Provider Information

NPI Number: 1124328232
Entity Type: Organization
Organization Name: West Bend Clinic, Inc.
Primary Specialty: Occupational Therapist
Enumeration Date: Oct 25, 2010
Last Updated: Oct 25, 2010

Practice Location

Address: W227 N16857 TILLIE LAKE COURT
City: Jackson
State: Wisconsin
ZIP Code: 53037-9000
Phone: (262) 365-6170

Authorized Official

Name: JAMES BROWNE
Title: ADMINISTRATOR
Phone: (262) 306-6536

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X
Occupational Therapist	225X00000X	Primary

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