IndividualActive
Angela Ebben
NPI 1144117920 · Occupational Therapy Assistant · Menasha, WI
Provider details
- NPI number
- 1144117920
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 5874-27 (WI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
1550 Midway Pl
Menasha, WI 54952-1165
Phone: (920) 738-2000
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 331
Butte Des Morts, WI 54927-0331
Registry dates
- Enumerated
- 2025-06-23
- Last updated
- 2025-07-17
- Certified
- 2025-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.