Lydia Wukasch, | |
3501 Columbia St, Vancouver, WA 98660-1925 | |
(630) 712-0724 | |
Not Available |
Full Name | Lydia Wukasch |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 3501 Columbia St, Vancouver, Washington |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1568899631 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | OT60310648 (Washington) | Primary |
Provider Name | Brain Rehab Network Oregon Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1134595002 PECOS PAC ID: 8729400510 Enrollment ID: O20211108000243 |
Mailing Address | Practice Location Address |
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Lydia Wukasch, 3501 Columbia St., Vancouver, WA 98660 Ph: () - | Lydia Wukasch, 3501 Columbia St, Vancouver, WA 98660-1925 Ph: (630) 712-0724 |
Tasha Allen, MOTR L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 10401 Ne Fourth Plain Rd, Suite 101, Vancouver, WA 98662 Phone: 360-892-5142 Fax: 360-892-2157 | |
Ashley Michelle Morris, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Ne 65th Ave, Vancouver, WA 98661 Phone: 360-750-7500 | |
Elizabeth Jane Mcphee, OT/L Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2500 Ne 65 Ave, Esd Infant & Toddler Early Developement, Vancouver, WA 98661 Phone: 360-750-7500 Fax: 360-906-1010 | |
Leslie Ann Harvell, OTR/L Occupational Therapist Medicare: Accepting Medicare Assignments Practice Location: 8040 E Mill Plain Blvd, Vancouver, WA 98664 Phone: 360-882-2778 | |
Lindsey Mackay Bridges, OTD Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 2121 Ne 139th St Ste 200, Vancouver, WA 98686 Phone: 360-487-1777 Fax: 360-487-1779 | |
Anna Patten, OTR/L Occupational Therapist Medicare: Medicare Enrolled Practice Location: 5500 Ne 82nd Ave, Vancouver, WA 98662 Phone: 360-721-4357 | |
Mrs. Jeannie Marie Rosenbalm, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 201 Ne Park Plaza Dr, Suite 246, Vancouver, WA 98684 Phone: 800-336-6862 |