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NPI Code Detail

MEDICARE: MRS. LINDA CAROLYN WULICK OTR

MEDICARE: MRS. LINDA CAROLYN WULICK 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 Therapist3126-26WI

General Provider Information

NPI Number : 1427484443
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LINDA CAROLYN WULICK OTR
Provider Business Mailing Address
First Line : 4434 N OAKLAND AVE
Second Line :
City : SHOREWOOD
State : WI
Zip : 53211-1657
Country : US
Telephone Number : 414-659-1065
Fax Number :
Provider Business Practice Location Address
First Line : 1333 W TOWNE SQUARE RD
Second Line :
City : MEQUON
State : WI
Zip : 53092-5047
Country : US
Telephone Number : 414-659-1065
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/23/2013
Last Update Date : 09/23/2013

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Directions to “ MRS. LINDA CAROLYN WULICK OTR” Practice Location

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