MS. Carla Jo Fenna, OTRL
MS. Carla Jo Fenna, OTRL is an Occupational Therapist in Private Practice in Poplar Grove, Illinois. Qualified in 1994, 32 years ago. Licensed in Illinois.
- Years since qualifying
- 32
- Licensed in
- IL
- In the registry since
- 2006
Practice location Address checks out
402 Jayde PlPoplar Grove, IL 61065-8314
Phone: (815) 765-2715
Fax: (815) 765-2715
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Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X (IL) |
|---|
Record details
| NPI number | 1609987395 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | OTRL |
| Sole proprietor | No |
| NPI enumerated | August 31, 2006 |
| Last updated in NPPES | July 8, 2007 |
Medicare enrollment
| Medicare specialty | OCCUPATIONAL THERAPIST IN PRIVATE PRACTICE |
|---|---|
| Medical school | OTHER |
| Graduated | 1994 (32 years in practice) |
| Accepts Medicare assignment | Not indicated |
| Practice locations | 2 on file with Medicare |
Other providers in Poplar Grove
-
Baylee Baumann
4950 Il Route 173, Poplar Grove, IL 61065-9718 · (815) 765-2113
-
Amber Suarez-Christensen
4950 IL-173, Poplar Grove, IL 61065 · (773) 808-4740