| Jack Ryan Speckman, OTR | |
|
1000 Mineral Point Ave, Janesville, WI 53548-2940 | |
| (608) 756-6000 | |
| Not Available |
| Full Name | Jack Ryan Speckman |
|---|---|
| Gender | Male |
| Speciality | Occupational Therapist |
| Location | 1000 Mineral Point Ave, Janesville, Wisconsin |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346003704 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225X00000X | Occupational Therapist | 8493 (Wisconsin) | Primary |
| Provider Name | Mercy Health System Corporation |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1598718603 PECOS PAC ID: 7416860440 Enrollment ID: O20031113000164 |
| Mailing Address | Practice Location Address |
|---|---|
| Jack Ryan Speckman, OTR N151 County Road T, Brodhead, WI 53520-9554 Ph: (608) 921-8668 | Jack Ryan Speckman, OTR 1000 Mineral Point Ave, Janesville, WI 53548-2940 Ph: (608) 756-6000 |
Terri Jennifer Tomicki, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 216 N Chatham St, Janesville, WI 53548 Phone: 608-774-0734 | |
Karen Saunders, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6000 | |
Heidi Alderman, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 557 N Washington St, Janesville, WI 53548 Phone: 608-754-6000 | |
Jennifer Sue Canik, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 3400 E Racine St, Janesville, WI 53546 Phone: 608-373-8000 | |
Moving On Llc Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 303 W. Court St., Suite 101, Janesville, WI 53548 Phone: 085-630-1136 Fax: 608-563-0220 | |
Kathleen M. Boertman, OT Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1000 Mineral Point Ave, Janesville, WI 53548 Phone: 608-756-6842 Fax: 608-741-6953 | |
Bethany Lyn Weberpal, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 200 W Milwaukee St, Janesville, WI 53548 Phone: 608-273-3232 |