Organization Name: | JOURNEYS OCCUPATIONAL THERAPY LLC |
NPI Number: | 1326432303 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | NATALIE C BLEDSTEIN (OWNER, OCCUPATIONAL THERAPIST) |
Mailing Address: | 543 A J Allen Cir Suite A1 Wales |
State: | WI US |
Postal Code: | 531839542 |
Phone Number: | 2629682001 |
Fax Number: | 2623473371 |
NPI Enumeration Date: | 03/26/2015 |
NPI Last Update Date: | 03/26/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
License Number: | 2307-26 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Health Service |
Taxonomy Definition: |