Imagine a Child's Capacity
Imagine a Child's Capacity is a Social Worker in Fitchburg, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2006.
- Licensed in
- WI
- In the registry since
- 2006
- Specialties on file
- 6
Practice location Address checks out
2875 Fish Hatchery RdFitchburg, WI 53713-3114
Phone: (608) 204-6242
Fax: (608) 204-6249
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Rehabilitation Clinic/Center (primary) | Taxonomy 261QR0400X (WI) |
|---|---|
| Social Worker | Taxonomy 104100000X |
| Pediatric Physical Therapist | Taxonomy 2251P0200X |
| Speech/Language/Hearing Specialist/Technologist | Taxonomy 235500000X |
| Speech-Language Pathologist | Taxonomy 235Z00000X (WI) |
| In Home Supportive Care Agency | Taxonomy 253Z00000X (WI) |
Record details
| NPI number | 1770688970 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | David Johnson — Executive Director. · (608) 316-1127 |
| NPI enumerated | September 13, 2006 |
| Last updated in NPPES | March 27, 2012 |
| Mailing address | 2875 Fish Hatchery Rd, Fitchburg, WI 53713-3114 |
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