Lisa Van Heukelom, MS, OTR/L | |
4530 Northern Sky Dr, Bismarck, ND 58503-8534 | |
(701) 751-6336 | |
Not Available |
Full Name | Lisa Van Heukelom |
---|---|
Gender | Female |
Speciality | Occupational Therapist |
Location | 4530 Northern Sky Dr, Bismarck, North Dakota |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942737820 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 1538 (North Dakota) | Primary |
Provider Name | Pediatric Therapy Partners Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1457479958 PECOS PAC ID: 3072667203 Enrollment ID: O20090821000335 |
Mailing Address | Practice Location Address |
---|---|
Lisa Van Heukelom, MS, OTR/L 811 Eastview Dr, Bismarck, ND 58501-3279 Ph: (701) 426-0755 | Lisa Van Heukelom, MS, OTR/L 4530 Northern Sky Dr, Bismarck, ND 58503-8534 Ph: (701) 751-6336 |
Luke Aaron Schlichenmayer, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1051 E Interstate Ave, Bismarck, ND 58503 Phone: 701-222-8322 | |
Molly Helbling, Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 300 N 7th St, Bismarck, ND 58501 Phone: 701-323-6153 | |
Jessica Kaiser, MS, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 4530 Northern Sky Dr, Bismarck, ND 58503 Phone: 701-751-6336 Fax: 701-751-6337 | |
Kaylee Bruner, Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1615 E Capitol Way, Bismarck, ND 58501 Phone: 701-751-0410 | |
Ms. Joelean Lowman, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 806 N Washington St, Bismarck, ND 58501 Phone: 701-355-3029 | |
Sydney Gayton, MOT, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 1600 E Interstate Ave Ste 3, Bismarck, ND 58503 Phone: 701-751-1125 | |
Mariah Hathaway, OTR/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 4501 Coleman St Ste 103, Bismarck, ND 58503 Phone: 701-751-6336 |