Brooke Wigen, OTD | |
1819 23rd St, Spirit Lake, IA 51360-7096 | |
(712) 336-3553 | |
Not Available |
Full Name | Brooke Wigen |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 1819 23rd St, Spirit Lake, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1710696679 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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225X00000X | Occupational Therapist | 105713 (Minnesota) | Secondary |
225X00000X | Occupational Therapist | 092475 (Iowa) | Primary |
Provider Name | Blue Stone Therapy Inc. |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1932797297 PECOS PAC ID: 1850707787 Enrollment ID: O20210301002214 |
Mailing Address | Practice Location Address |
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Brooke Wigen, OTD 115 2nd Ave, Jackson, MN 56143-1806 Ph: () - | Brooke Wigen, OTD 1819 23rd St, Spirit Lake, IA 51360-7096 Ph: (712) 336-3553 |
Kayla Jo Benjamin, OTD, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: Lakes Regional Healthcare, 2301 Hwy 71 S, Spirit Lake, IA 51360 Phone: 641-336-8651 | |
Amy Marlow, OT Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 1380 Lake St, Spirit Lake, IA 51360 Phone: 712-336-8404 Fax: 712-546-1770 | |
Dawn R Schulz, MA OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3804 Stover Ave, Spirit Lake, IA 51360 Phone: 712-330-2633 |