Gail Bliss, COTA
Individual provider Active NPI Occupational Therapy Assistant · Stoughton, WI
NPI 1962887539 · NPPES record last updated Jul 24, 2015
Key facts
- NPI
- 1962887539
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 4673 - 027 (WI)
- Practice address
- 400 N Morris St
Rehab Dept
Stoughton, WI 53589-1857 - Phone
- (608) 873-5651
- NPI assigned
- Jul 24, 2015
- 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 |
|---|---|---|---|
| 4673 - 027 | WI | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 4673 - 027 | WI | Yes |
Addresses
Primary practice location
400 N Morris St
Rehab Dept
Stoughton, WI 53589-1857
Mailing address
5309 Regent St
Madison, WI 53705-4626
Phone (608) 231-3511
Other providers in Stoughton, WI
- James Benkard
- Alfred Bennin
- Ronald E Beresky
- Jennifer Betters-Bubon
- Jon D Blackman
- Bloom Psychotherapy LLC
- Brandon Bojar
- Joyce M Brehm
- Jeffrey L Brown
- Bruce G. Barry
All providers in Stoughton, 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 Jul 24, 2015. 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.