Brenda W Dykstra in Beaver Dam - Occupational Therapist
Brenda W Dykstra - NPI 1114192903
Brenda W Dykstra is a Occupational Therapist in Beaver Dam, Wisconsin. Brenda W Dykstra practices all healthcare services and medical treatments related to Occupational Therapist. The NPI Number for Brenda W Dykstra is 1114192903. The last update date is 2008-04-23.
Brenda W Dykstra's current location address is 410 Roedl Ct, Beaver Dam, Wisconsin. You can contact this provider via phone number 9208877191 and fax number 9208877270. The mailing address for Brenda W Dykstra is 410 Roedl Ct, Beaver Dam, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brenda W Dykstra |
|---|---|
| Address | 410 Roedl Ct, Beaver Dam, Wisconsin |
| Phone Number | 9208877191 |
| Fax Number | 9208877270 |
| Sole Proprietor | Y |
| Credentials | OTR |
NPI Number Detail
| NPI Number | 1114192903 |
|---|---|
| Provider Enumeration Date | 2008-04-23 |
| Last Updated Date | 2008-04-23 |
Provider Mailing Address Detail
| Address | 410 Roedl Ct |
|---|---|
| City | Beaver Dam |
| State | Wisconsin (WI) |
| Post Code | 539162934 |
| Phone Number | 9208877191 |
| Fax Number | 9208877270 |
Provider's Primary Taxonomy Detail
| Speciality | Occupational Therapist |
|---|---|
| Taxonomy | 225X00000X |
| Licence No | 3894-026 |
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Definition: An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federat |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 40851500 | WI | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Brenda W Dykstra by the Centers for Medicare & Medicaid Services (CMS)?
The Brenda W Dykstra has been assigned the NPI (National Provider Identifier) 1114192903. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Brenda W Dykstra?
The Brenda W Dykstra is situated at 410 Roedl Ct, in the city of Beaver Dam, state of WI, with the zip code 539162934.
What is Brenda W Dykstra's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Brenda W Dykstra is Occupational Therapist, and the taxonomy classification code that categorizes this area of expertise is 225X00000X.
When did Brenda W Dykstra receive its 1114192903 assignment?
The Brenda W Dykstra was assigned its 1114192903 on 2008-04-23, which is the date when this unique identifier was issued to the organization.
As of what date was the information pertaining to Brenda W Dykstra, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Brenda W Dykstra, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-04-23.