Madelynn J Bamford, OTA, BT TECH

Individual provider Active NPI Occupational Therapy Assistant · Janesville, WI

NPI 1992342299 · NPPES record last updated Dec 5, 2019

Key facts

NPI
1992342299
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
5390-27 (WI)
Practice address
580 N Washington St
Janesville, WI 53548-2984
Phone
(608) 756-5555
Fax
(608) 314-2442
NPI assigned
Dec 5, 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

LicenseStateTypeSpecialty
5390-27WIMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 5390-27 WI Yes

Addresses

Primary practice location

580 N Washington St
Janesville, WI 53548-2984

Mailing address

580 N Washington St
Janesville, WI 53548-2984
Phone (608) 756-5555

Other names

  • Madelynn J Seichter Former name

Other providers in Janesville, WI

All providers in Janesville, WI · Occupational Therapy Assistant in Wisconsin

Sources for this page

Verify at the official NPI Registry.