Follansbee-Gragg, Karen Jean

Follansbee-Gragg, Karen Jean is an individual health care provider with primary practice located at 1111 Delafield St Suite 120, Waukesha WI 53188-3417. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Follansbee-Gragg, Karen Jean can be contacted via phone (262) 544-5311.

Contact Information

Primary practice address
1111 Delafield St Suite 120 Waukesha WI 53188-3417
Phone: (262) 544-5311
Fax: (262) 544-6820
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 242 Wisconsin

Profile Details

NPI number 1679555841
LBN Legal business name Follansbee-Gragg, Karen Jean
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 15th, 2005
Last updated Oct 24th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1679555841 NPPES
Wisconsin MEDICAID 40581700

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