Mylinda Rose Barisas-Matula, OT
Individual provider Active NPI Occupational Therapist · Sheboygan, WI
NPI 1104049402 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1104049402
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 1913-026 (WI)
- Practice address
- 2629 N 7TH St
Sheboygan, WI 53083-4932 - Phone
- (920) 451-5634
- NPI assigned
- Apr 11, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1913-026 | WI | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 1913-026 | WI | Yes |
Addresses
Primary practice location
2629 N 7TH St
Sheboygan, WI 53083-4932
Mailing address
417 Saint Clair Ave
Sheboygan, WI 53081-3562
Phone (920) 451-4651
Other providers in Sheboygan, WI
- Sophia Bandt
- Jennifer Banholzer
- Tracy Bantleon
- Barbara J H Anderson LMFT Counseling Services LLC
- Lori L Baril
- Nicholas C Barnes
- Bartels Chiropractic Office SC
- Ingolf K Bartels
- Holly Ann Bartlein
- Cindy Bartol
All providers in Sheboygan, WI · Occupational Therapist in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.