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NPI Code Detail

MEDICARE: ALLISON ANN MEIXL

MEDICARE: ALLISON ANN MEIXL
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
1224Z00000XOccupational Therapy Assistant5548-27WI

General Provider Information

NPI Number : 1821663915
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLISON ANN MEIXL
Provider Business Mailing Address
First Line : 2801 S WEBSTER AVE
Second Line :
City : GREEN BAY
State : WI
Zip : 54301-2894
Country : US
Telephone Number : 920-337-1122
Fax Number :
Provider Business Practice Location Address
First Line : 2801 S WEBSTER AVE
Second Line :
City : GREEN BAY
State : WI
Zip : 54301-2894
Country : US
Telephone Number : 920-337-1122
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/21/2021
Last Update Date : 05/21/2021

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Directions to “ ALLISON ANN MEIXL ” Practice Location

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