| Doctor Name: | MS. PAMELA SUE SPECKBROCK |
| NPI Number: | 1750502035 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR |
| License Number: | 3103026 |
| Business Practice Address: | 901 Mulberry St Lake Mills, WI - 535511335 |
| Business Phone Number: | 9206488344 |
| Business Fax Number: | |
| Mailing Address: | 5212 Mesa Rd, MONONA |
| State: | WI |
| Postal Code: | 537162915 |
| Phone Number: | 6082218275 |
| Fax Number: | |
| NPI Enumeration Date: | 05/02/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XR0403X |
| License Number: | 3103026 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Driving and Community Mobility |
| Taxonomy Definition: | Occupational therapists can optimize and prolong an older driver |