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NPI Code Detail

MEDICARE: JANE BEISSER OTR

MEDICARE:   JANE  BEISSER  OTR
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 Therapist1253WI

Other Identifiers

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

General Provider Information

NPI Number : 1174782643
Entity Type Code : Individual
Provider Name (Legal Business Name) : JANE BEISSER OTR
Provider Business Mailing Address
First Line : 951 N 31ST ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53208-3409
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 951 N 31ST ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53208-3409
Country : US
Telephone Number : 414-344-3622
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/09/2008
Last Update Date : 02/08/2026

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