Robert Ihssen, MS, CCC-SLP | |
500 Grant Ave, Omro, WI 54963-1342 | |
(920) 685-2755 | |
Not Available |
Full Name | Robert Ihssen |
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Gender | Male |
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 |
---|---|---|---|
1336791342 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
235Z00000X | Speech-language Pathologist | 4673 (Wisconsin) | Primary |
Provider Name | Oasis Therapy Services Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1386381598 PECOS PAC ID: 8325427974 Enrollment ID: O20220706002370 |
Mailing Address | Practice Location Address |
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Robert Ihssen, MS, CCC-SLP 500 Grant Ave, Omro, WI 54963-1342 Ph: () - | Robert Ihssen, MS, CCC-SLP 500 Grant Ave, Omro, WI 54963-1342 Ph: (920) 685-2755 |
Emily Josephine Bulow, MS 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 |