Ms Rebecca Christine Boland, MOT, OTR, CLT | |
1515 Park Ave, Columbus, WI 53925-1618 | |
(920) 623-1430 | |
(920) 623-1449 |
Full Name | Ms Rebecca Christine Boland |
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Gender | Female |
Speciality | Occupational Therapist |
Location | 1515 Park Ave, Columbus, Wisconsin |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1427216738 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225X00000X | Occupational Therapist | 4283-026 (Wisconsin) | Primary |
Provider Name | Prairie Ridge Health Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154403657 PECOS PAC ID: 6800791484 Enrollment ID: O20040210000777 |
Mailing Address | Practice Location Address |
---|---|
Ms Rebecca Christine Boland, MOT, OTR, CLT 1515 Park Ave, Columbus, WI 53925-1618 Ph: (920) 623-1430 | Ms Rebecca Christine Boland, MOT, OTR, CLT 1515 Park Ave, Columbus, WI 53925-1618 Ph: (920) 623-1430 |
Amy Mannes, OTR Occupational Therapist Medicare: Medicare Enrolled Practice Location: 1515 Park Ave, Columbus, WI 53925 Phone: 920-623-2200 | |
Elisabeth Leanne Sherman, Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: W941 Du Borg Rd, Columbus, WI 53925 Phone: 269-281-1790 | |
Mrs. Jilleine Ruth Baker, OTR Occupational Therapist Medicare: Not Enrolled in Medicare Practice Location: 825 Western Ave, Columbus, WI 53925 Phone: 920-623-2520 |