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NPI Code Detail

MEDICARE: BELL THERAPY, INC.

MEDICARE: BELL THERAPY, INC.
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
1251C00000XDevelopmentally Disabled Services Day Training Agency1096WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
21096OTHERWISTATE LICENSE

General Provider Information

NPI Number : 1205987187
Entity Type Code : Organization
Provider Name (Legal Business Name) : BELL THERAPY, INC.
Provider Business Mailing Address
First Line : 1744 N FARWELL AVE
Second Line :
City : MILWAUKEE
State : WI
Zip : 53202-1806
Country : US
Telephone Number : 414-225-4460
Fax Number : 414-225-4469
Provider Business Practice Location Address
First Line : 4065 N 35TH ST
Second Line :
City : MILWAUKEE
State : WI
Zip : 53216-1705
Country : US
Telephone Number : 414-445-9180
Fax Number : 414-445-5995
Authorized Official
Title or Position : PRESIDENT & CEO
Name : MR. LEONARD F DZIUBLA
Credential : LCSW
Telephone Number : 414-225-4460
Provider Enumeration Date : 01/16/2007
Last Update Date : 08/22/2020

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Directions to “BELL THERAPY, INC. ” Practice Location

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