Laura A Balcerak, COTA
Individual provider Active NPI Occupational Therapy Assistant · Muskego, WI
NPI 1669935359 · NPPES record last updated Apr 9, 2019
Key facts
- NPI
- 1669935359
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 651-27 (WI)
- Practice address
- W156S7464 Martin CT
Muskego, WI 53150-8395 - Phone
- (414) 531-3598
- NPI assigned
- Apr 9, 2019
- 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 |
|---|---|---|---|
| 651-27 | WI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 651-27 | WI | Yes |
Addresses
Primary practice location
W156S7464 Martin CT
Muskego, WI 53150-8395
Mailing address
W156S7464 Martin CT
Muskego, WI 53150-8395
Phone (414) 531-3598
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | laura@therapystrong.com |
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All providers in Muskego, WI · Occupational Therapy Assistant in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 9, 2019. 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.