Barbara J Blank, OTR | |
310 W Main St, Sparta, WI 54656 | |
(608) 785-0940 | |
Not Available |
Full Name | Barbara J Blank |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 310 W Main St, Sparta, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437134889 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 2148 (Wisconsin) | Primary |
Provider Name | Mayo Clinic Health System-southwest Wisconsin Region Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1629056049 PECOS PAC ID: 0345152443 Enrollment ID: O20031110000684 |
Mailing Address | Practice Location Address |
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Barbara J Blank, OTR 200 1st St Sw, Rochester, MN 55905-0001 Ph: (608) 785-0940 | Barbara J Blank, OTR 310 W Main St, Sparta, WI 54656 Ph: (608) 785-0940 |
Johanna N Meyer, OT/R Occupational Therapist Medicare: Medicare Enrolled Practice Location: 310 W Main St, Sparta, WI 54656 Phone: 608-785-0940 | |
Megan J Steele, O.T. Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 9484 Festival Ave, Sparta, WI 54656 Phone: 608-366-1269 | |
Lauren Carol Sulikowski, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 331 S Water St, Sparta, WI 54656 Phone: 608-269-3168 | |
Jackie M Sands, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 331 S Water St, Sparta, WI 54656 Phone: 608-269-0555 | |
Anne M Kuzma, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 310 W Main St, Sparta, WI 54656 Phone: 608-269-1770 | |
Emma Rose Fleming, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 310 W Main St, Sparta, WI 54656 Phone: 608-785-0940 |