Individual
BECKY M FENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
515 22ND AVE, MONROE, WI 53566
(608) 324-2000
Mailing address
515 22ND AVE, MONROE, WI 53566
(608) 324-2000
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4442
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
209273
NBCOT CERT
—
Enumeration date
07/25/2006
Last updated
12/06/2013
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