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NPI Code Detail

MEDICARE: MS. BRENDA KAY O'CONNELL OTR

MEDICARE:  MS. BRENDA KAY O'CONNELL  OTR
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist8722-26WI

General Provider Information

NPI Number : 1104171230
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BRENDA KAY O'CONNELL OTR
Provider Business Mailing Address
First Line : 6334 HARTFORD DR
Second Line :
City : MADISON
State : WI
Zip : 53719-4802
Country : US
Telephone Number : 608-606-9823
Fax Number :
Provider Business Practice Location Address
First Line : 545 W DAYTON ST
Second Line :
City : MADISON
State : WI
Zip : 53703-1995
Country : US
Telephone Number : 888-389-9030
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/15/2012
Last Update Date : 03/17/2026

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Directions to “ MS. BRENDA KAY O'CONNELL OTR” Practice Location

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