Individual
VICTORIA J MAGNAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
145 RIVERLAWN AVE, WATERTOWN, WI 53094-4013
(920) 285-2953
Mailing address
145 RIVERLAWN AVE, WATERTOWN, WI 53094-4013
(920) 285-2953
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2435
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1407999832
MEDICARE NPI
WI
01
—
WI2143001
MEDICARE PTAN
WI
Enumeration date
02/15/2007
Last updated
04/20/2015
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