Holly Ann Bjorge, OTR/L

Individual provider Active NPI Occupational Therapist · Caledonia, WI

NPI 1184884686 · NPPES record last updated Jun 10, 2008

Key facts

NPI
1184884686
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
3542026 (WI)
Practice address
4717 W 6 1/2 Mile Rd
Caledonia, WI 53108-9726
Phone
(262) 835-1094
NPI assigned
Jun 10, 2008
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
3542026WIMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3542026 WI Yes
Occupational Therapist 225X00000X

Addresses

Primary practice location

4717 W 6 1/2 Mile Rd
Caledonia, WI 53108-9726

Mailing address

4717 W 6 1/2 Mile Rd
Caledonia, WI 53108-9726
Phone (262) 835-1094

Other providers in Caledonia, WI

All providers in Caledonia, WI · Occupational Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.