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NPI Code Detail

MEDICARE: JOAN M STEELE OT

MEDICARE: JOAN M STEELE OT
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
1225X00000XOccupational Therapist783-026WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2783-026OTHERWIOCCUPATIONAL THERAPIST LICENSE
3974881OTHERWINATIONAL CERTIFICATION NUMBER

General Provider Information

NPI Number : 1164696050
Entity Type Code : Individual
Provider Name (Legal Business Name) : JOAN M STEELE OT
Provider Business Mailing Address
First Line : 7300 W DEAN RD
Second Line :
City : MILWAUKEE
State : WI
Zip : 53223-2637
Country : US
Telephone Number : 414-371-7397
Fax Number :
Provider Business Practice Location Address
First Line : 7300 W DEAN RD
Second Line :
City : MILWAUKEE
State : WI
Zip : 53223-2637
Country : US
Telephone Number : 414-371-7397
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/22/2008
Last Update Date : 04/22/2008

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