Gwen R Radke, OT | |
4319 Nw Urbandale Dr, Urbandale, IA 50322-7910 | |
(515) 225-4070 | |
Not Available |
Full Name | Gwen R Radke |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 4319 Nw Urbandale Dr, Urbandale, Iowa |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1962540724 | NPI | - | NPPES |
01760 | Other | IA | WELLMARK BCBS OF IOWA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 1220 (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 |
---|---|
Gwen R Radke, OT 505 N Craig Dr, Cherokee, IA 51012-1107 Ph: (712) 261-5877 | Gwen R Radke, OT 4319 Nw Urbandale Dr, Urbandale, IA 50322-7910 Ph: (515) 225-4070 |
Andrew Vanblair, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13731 Hickman Rd, Urbandale, IA 50323 Phone: 515-331-9676 | |
Mrs. Jeanne Marie Fung, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 14817 Dellwood Dr, Urbandale, IA 50323 Phone: 515-229-0629 | |
Erin Johnson, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 13731 Hickman Rd, Urbandale, IA 50323 Phone: 515-331-6907 | |
Molly Joanne Manning, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4222 161st St, Urbandale, IA 50323 Phone: 515-867-1571 | |
Mrs. Christen Anne Bliss, MOTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4319 Nw Urbandale Dr, Urbandale, IA 50322 Phone: 515-225-4070 | |
Sarah Gronau, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4319 Nw Urbandale Dr, Urbandale, IA 50322 Phone: 515-225-4070 | |
Rise Pediatric Speech Therapy, Pllc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3100 100th St, Urbandale, IA 50322 Phone: 515-207-9655 |