Organization
THE ARC OF FOND DU LAC
Active
Other names
Associated Pediatric Therapists
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL L HANDY (BILLING MANAGER)
(920) 929-8858
Entity
Organization
Contact information
Practice address
500 N PARK AVE, FOND DU LAC, WI 54935-1943
(920) 929-8858
(920) 923-3038
Mailing address
500 N PARK AVE, FOND DU LAC, WI 54935-1943
(920) 929-8858
(920) 923-3038
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
5225-024
WI
225XP0200X
Pediatric Occupational Therapist
2130
WI
235Z00000X
Speech-Language Pathologist
1962-154
WI
235Z00000X
Speech-Language Pathologist
Primary
2236-154
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41211100
—
WI
Enumeration date
11/01/2006
Last updated
09/11/2025
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