MEDICARE: JOSHUA MICHAEL OESTERLING OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	31005736A	IN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073998530
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOSHUA MICHAEL OESTERLING OTR/L

Provider Business Mailing Address
First Line	:	9315 THUNDER HILL PL
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46804-4825
Country	:	US
Telephone Number	:	260-420-0332
Fax Number	:

Provider Business Practice Location Address
First Line	:	9315 THUNDER HILL PL
Second Line	:
City	:	FORT WAYNE
State	:	IN
Zip	:	46804-4825
Country	:	US
Telephone Number	:	260-420-0332
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/27/2015
Last Update Date	:	04/22/2021

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Directions to “ JOSHUA MICHAEL OESTERLING OTR/L” Practice Location

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