Debbie K Dlugopolski, OTR

Individual provider Active NPI Occupational Therapist · Cedarburg, WI

NPI 1992932909 · NPPES record last updated Jun 17, 2009

Key facts

NPI
1992932909
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
2103-026 (WI)
Practice address
N27W5707 Lincoln Blvd
Cedarburg, WI 53012-2852
Phone
(262) 376-7676
Fax
(262) 376-5208
NPI assigned
Jun 17, 2009
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
2103-026WIMDOccupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2103-026 WI Yes

Addresses

Primary practice location

N27W5707 Lincoln Blvd
Cedarburg, WI 53012-2852

Mailing address

N27W5707 Lincoln Blvd
Cedarburg, WI 53012-2852
Phone (262) 376-7676

Other identifiers

IdentifierTypeStateIssuer
40740900MedicaidWI

Other providers in Cedarburg, WI

All providers in Cedarburg, WI · Occupational Therapist in Wisconsin

Sources for this page

Verify at the official NPI Registry.