Alicia Leigh Jensen, OTR/L | |
8274 E San Rd, South Range, WI 54874-8621 | |
(715) 398-3523 | |
Not Available |
Full Name | Alicia Leigh Jensen |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 8274 E San Rd, South Range, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1811570799 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225X00000X | Occupational Therapist | (* (Not Available)) | Primary |
Provider Name | Burnett Medical Center Inc |
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Provider Type | Part A Provider - Critical Access Hospital |
Provider Identifiers | NPI Number: 1225191687 PECOS PAC ID: 2163314931 Enrollment ID: O20120110000801 |
Mailing Address | Practice Location Address |
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Alicia Leigh Jensen, OTR/L 8274 E San Rd, South Range, WI 54874-8621 Ph: () - | Alicia Leigh Jensen, OTR/L 8274 E San Rd, South Range, WI 54874-8621 Ph: (715) 398-3523 |
Mrs. Nancy Cope, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8274 E San Rd, South Range, WI 54874 Phone: 715-398-3523 Fax: 920-683-0210 | |
Ann Andersen, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 8274 E San Rd, South Range, WI 54874 Phone: 715-398-3523 | |
Kelsey Krob, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 8274 E San Rd, South Range, WI 54874 Phone: 715-398-3523 |