Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
WILLIAM JOHN BACON, PTA
Active Sole ProprietorWILLIAM JOHN BACON, PTA is a Occupational Therapist healthcare provider located in WEBSTER, South Dakota. NPI 1902168669 is currently active in the NPPES registry. Verify at CMS.
Occupational Therapist · WEBSTER, SD
Registration Details
- NPI Number
- 1902168669
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 8, 2012 (14.141693178214 yrs)
- Last Updated
- Jul 15, 2020
- Licenses
-
2061050 (TX)008793 (NY)
- Sole Proprietor
- Yes
Practice Information
- Address
-
902 E 12TH AVEWEBSTER, SD, 572742300Browse SD providers · Browse ZIP 57274
- Phone
- 9564511907
- Primary Specialty
-
Occupational Therapist
225200000X
- Additional Specialty
- Occupational Therapist
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.