NPI 1083990212

Meghan R Driessen, PTA

Practitioner Rehabilitation Practitioner New Holstein, WI

Practice location

Address: 1609 Coolidge St, New Holstein, WI 53061-1629
Phone: (920) 898-5627
Fax: (920) 898-1375
Mailing address: 1013 Hennes CT, Kaukauna, WI 54130-2627

Registered specialties

Rehabilitation Practitioner Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225400000X Licence 1783-019 (WI)

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Registry record

NPI: 1083990212
Entity type: Individual
Sex (as registered): Female
NPI issued: 2 Nov 2011
Record last updated: 5 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.