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1437757986 NPI number — WONDERLAND THERAPY LLC

NPI Number: 1437757986
Health Care Provider/Practitioner: WONDERLAND THERAPY LLC

Information about “1437757986” NPI (WONDERLAND THERAPY LLC) exists in 1437757986 in HTML format HTML  |  1437757986 in plain Text format TXT  |  1437757986 in PDF (Portable Document Format) PDF  |  1437757986 in an XML format XML  formats.

NPI Number : 1437757986 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1437757986",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "WONDERLAND THERAPY LLC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "2116 WINNEBAGO ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LA CROSSE",
    "MailingAddressStateName": "WI",
    "MailingAddressPostalCode": "54601-5060",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": null,
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "1800 JACKSON ST STE H",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LA CROSSE",
    "PracticeLocationAddressStateName": "WI",
    "PracticeLocationAddressPostalCode": "54601-5800",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "608-571-5417",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/15/2020",
    "LastUpdateDate": "03/12/2024",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "KISH",
    "AuthorizedOfficialFirstName": "LAURA",
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": "OCCUPATIONAL THERAPIST",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": "MS, OTR/L",
    "AuthorizedOfficialTelephoneNumber": "608-780-1196",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "261Q00000X",
        "TaxonomyName": "Clinic/Center",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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