| Emily Josephine Bulow, MS CCC-SLP | |
| 500 Grant Ave, Omro, WI 54963-1342 | |
| (920) 685-2755 | |
| Not Available | 
| Full Name | Emily Josephine Bulow | 
|---|---|
| Gender | Female | 
| Speciality | Speech-language Pathologist | 
| Location | 500 Grant Ave, Omro, Wisconsin | 
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1225707011 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 235Z00000X | Speech-language Pathologist | 5345-154 (Wisconsin) | Primary | 
| Provider Name | Sundance Rehabilitation Llc | 
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice | 
| Provider Identifiers | NPI Number: 1073912119 PECOS PAC ID: 7911815329 Enrollment ID: O20140917001161 | 
| Mailing Address | Practice Location Address | 
|---|---|
| Emily Josephine Bulow, MS CCC-SLP N1686 Kas Dr, Greenville, WI 54942-4200 Ph: (920) 321-8198 | Emily Josephine Bulow, MS CCC-SLP 500 Grant Ave, Omro, WI 54963-1342 Ph: (920) 685-2755 | 
| Robert Ihssen, M.S, CCC-SLP Speech-Language Pathologist Medicare: Medicare Enrolled Practice Location: 500 Grant Ave, Omro, WI 54963 Phone: 920-685-2755 | |
| Rachel L Mcinnis, MS/CCC-SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 Grant Ave, Omro, WI 54963 Phone: 920-246-5076 | |
| Mrs. Kimberly Rae Bartley, MS CCC SLP Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 S. Grant Avenue, Omro, WI 54963 Phone: 920-685-2755 | |
| Anita Lee-bjerke,  Speech-Language Pathologist Medicare: Not Enrolled in Medicare Practice Location: 500 Grant Ave, Omro, WI 54963 Phone: 920-859-0269 Fax: 920-859-0279 |