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NPI Code Detail

MEDICARE: TAMARA HAHLBECK OTR

MEDICARE: TAMARA HAHLBECK 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 Therapist4346-026WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
11078588OTHERWINBCOT

General Provider Information

NPI Number : 1225110562
Entity Type Code : Individual
Provider Name (Legal Business Name) : TAMARA HAHLBECK OTR
Provider Business Mailing Address
First Line : W150N8668 WHEELER DR
Second Line :
City : MENOMONEE FALLS
State : WI
Zip : 53051-3124
Country : US
Telephone Number : 262-251-0372
Fax Number :
Provider Business Practice Location Address
First Line : 17700 W CAPITOL DR
Second Line :
City : BROOKFIELD
State : WI
Zip : 53045-2006
Country : US
Telephone Number : 414-874-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/19/2006
Last Update Date : 03/27/2022

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