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Individual

MRS. ANN PATRICE DECKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
725 BUTLER AVE, REHAB CARE PARKVIEW HEALTH CENTER, WINNEBAGO, WI 54985-0010
(920) 235-5100
(920) 233-7352
Mailing address
PO BOX 10, REHAB CARE PARKVIEW HEALTH CENTER 725 BUTLER AVE, WINNEBAGO, WI 54985-0010
(920) 235-5100
(920) 233-7352

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
25026
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
40666600
WI
Enumeration date
12/04/2006
Last updated
07/08/2007
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