Healthcare Provider Details

I. General information

NPI: 1134170186
Provider Name (Legal Business Name): ANNE ME HARRMANN OT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/15/2006
Last Update Date: 07/10/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1130 N. WESTFIELD ST.
OSHKOSH WI
54902-3217
US

IV. Provider business mailing address

1598 PENDLETON RD.
NEENAH WI
54956-6503
US

V. Phone/Fax

Practice location:
  • Phone: 920-237-2164
  • Fax:
Mailing address:
  • Phone: 920-585-1108
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number3256026
License Number StateWI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: