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NPI Code Detail

MEDICARE: MRS. CATHERINE AGNES DARGA OTR

MEDICARE: MRS. CATHERINE AGNES DARGA 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 Therapist499-026WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336352715
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. CATHERINE AGNES DARGA OTR
Provider Business Mailing Address
First Line : N9186 LEGLER RD
Second Line :
City : BROOKLYN
State : WI
Zip : 53521-9715
Country : US
Telephone Number : 608-455-1917
Fax Number :
Provider Business Practice Location Address
First Line : 516 26TH AVE
Second Line :
City : MONROE
State : WI
Zip : 53566-1531
Country : US
Telephone Number : 608-325-9141
Fax Number : 608-329-6594
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/08/2007
Last Update Date : 07/08/2007

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