MEDICARE: DONNA J. HORRIGAN PT

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
1	174400000X	Specialist	2322-024	WI

Other Identifiers

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

General Provider Information

NPI Number	:	1952475964
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DONNA J. HORRIGAN PT

Provider Business Mailing Address
First Line	:	7949 S LEGEND CREEK CT
Second Line	:
City	:	FRANKLIN
State	:	WI
Zip	:	53132-8576
Country	:	US
Telephone Number	:	414-425-3279
Fax Number	:

Provider Business Practice Location Address
First Line	:	3970 N OAKLAND AVE
Second Line	:	SUITE 703
City	:	SHOREWOOD
State	:	WI
Zip	:	53211-2265
Country	:	US
Telephone Number	:	414-963-6330
Fax Number	:	414-963-6331

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/20/2006
Last Update Date	:	07/08/2007

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