Magnan, Victoria J

Magnan, Victoria J is an sole proprietor health care provider with primary practice located at 145 Riverlawn Ave , Watertown WI 53094-4013. 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. Magnan, Victoria J can be contacted via phone (920) 285-2953.

Contact Information

Primary practice address
145 Riverlawn Ave Watertown WI 53094-4013
Phone: (920) 285-2953
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 2435 Wisconsin

Profile Details

NPI number 1407999832
LBN Legal business name Magnan, Victoria J
Credentials Registered Occupational Therapist (OTR)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 15th, 2007
Last updated Apr 20th, 2015 - about 11 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 1407999832 NPPES
Wisconsin Other WI2143001 MEDICARE PTAN
Wisconsin Other 1407999832 MEDICARE PTAN

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