Healthcare Provider Details

I. General information

NPI: 1770495681
Provider Name (Legal Business Name): ALAINA JOY VARGA MS OTR/L
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/17/2026
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

131 E WASHINGTON ST
APPLETON WI
54911-5447
US

IV. Provider business mailing address

W2593 COLONIAL CT
APPLETON WI
54915-8130
US

V. Phone/Fax

Practice location:
  • Phone: 920-852-5300
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number486126
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: